# ALBANY ORAL - MAXILLOFACIAL SURGERY GROUP, LLP

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

## Provider details

- **NPI number:** 1679704431
- **Authorized official:** DR. LAWRENCE JAMES BUSINO DDS (CO MEDICAL DIRECTOR)
- **Authorized official phone:** (518) 446-1001

## Contact information

- **Practice address:** 2 EXECUTIVE PARK DR, ALBANY, NY 12203-3700
- **Practice address phone:** (518) 446-1001
- **Practice address fax:** (518) 446-0802
- **Mailing address:** 2 EXECUTIVE PARK DR, ALBANY, NY 12203-3700
- **Mailing address phone:** (518) 446-1001
- **Mailing address fax:** (518) 446-0802

## 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:** 07/28/2009
- **Last updated:** 02/23/2015