Organization
ADIRONDACK ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LYNCH DDS (CEO)
(518) 348-0634
Entity
Organization
Contact information
Practice address
5 PALISADES DR, SUITE 210, ALBANY, NY 12205-6433
(518) 348-0634
(518) 426-3221
Mailing address
5 PALISADES DR, SUITE 210, ALBANY, NY 12205-6433
(518) 348-0634
(518) 426-3221
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
034917
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
045890
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
049895
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
050384
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
053589
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
055974
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
50933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00563635
—
NY
05
—
02117393
—
NY
05
—
02781340
—
NY
05
—
02926121
—
NY
05
—
02960649
—
NY
05
—
03034008
—
NY
05
—
03474224
—
NY
Enumeration date
05/10/2007
Last updated
12/03/2018
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