# CAPITAL REGION DENTISTRY AND ORAL SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reilly Gelder OMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487349361
- **Authorized official:** EMILY MAISCH (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (845) 430-9394

## Contact information

- **Practice address:** 10 AIRLINE DR STE 204, ALBANY, NY 12205-1025
- **Practice address phone:** (518) 456-6104
- **Mailing address:** 10 AIRLINE DR STE 204, ALBANY, NY 12205-1025
- **Mailing address phone:** (518) 456-6104

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2023
- **Last updated:** 04/07/2023