East Hudson Oral and Maxillofacial Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

044679 Issued in NY

Legal business name

EAST HUDSON ORAL AND MAXILLOFACIAL SURGERY, PLLC

Practice address

500 Federal St
Suite 202
Troy, NY 12180-2832

Phone

(518) 272-3221

Fax

(518) 272-2005

NPI assigned

May 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Douglas Bruce Smail, D.D.S.NPI 1851490429

Title

Owner

Phone

(518) 272-3221

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas B. Smail, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Troy, NY
  • NPI 1851490429
  NPD (past) Authorized official
• Elena Marcelle, D.M.D.

  • Dentist
  • Troy, NY
  • NPI 1114452653
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801016845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST",
            "address_2": "SUITE 202",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802832",
            "telephone_number": "518-272-3221",
            "fax_number": "518-272-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST",
            "address_2": "SUITE 202",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802832",
            "telephone_number": "518-272-3221",
            "fax_number": "518-272-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HUDSON ORAL AND MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMAIL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-272-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "044679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci M Dury, LMSW
• Karen Marie Ray Dwyer, SLP
• Peggy Dwyer, NP ADULT HEALTH
• Dynamic Dental Services
• Amy Louise Earshen, MD
• Erin Easter, LPN
• Jeidga Cherie Ebanks, LPN
• Erik D Ebbing, OD
• Deborah Ebhuoma, LCSW-R
• Martin P Echt, MD

• Oral and Maxillofacial Surgery (Dentist) in Troy, NY
• Providers in Troy, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.