# SCHENECTADY ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124115373
- **Authorized official:** MRS. THERESA M DUVAL (OFFICE MANAGER)
- **Authorized official phone:** (518) 372-2859

## Contact information

- **Practice address:** 2141 EASTERN PKWY, SCHENECTADY, NY 12309-6347
- **Practice address phone:** (518) 372-2859
- **Practice address fax:** (518) 370-5983
- **Mailing address:** 2141 EASTERN PKWY, SCHENECTADY, NY 12309-6347
- **Mailing address phone:** (518) 372-2859
- **Mailing address fax:** (518) 370-5983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 034224 | NY | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 044618 | NY | — |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 07/02/2008