NPIMap

Organization Active NPI

Seth T Farren DDS Oral and Maxillofacial Surgery PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Albany, NY
National Provider Identifier
1992205801
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
SETH T FARREN DDS ORAL AND MAXILLOFACIAL SURGERY PLLC
Practice address
100 Great Oaks Blvd Ste 112
Albany, NY 12203-7924
Phone
(518) 682-6400
Fax
(518) 682-6402
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Seth T Farren, DDSNPI 1720065402
Title
Owner/Surgeon
Phone
(518) 682-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

100 Great Oaks Blvd Ste 112
Albany, NY 12203-7924

Mailing address

100 Great Oaks Blvd Ste 112
Albany, NY 12203-7924
Phone (518) 682-6400

Other names 1

  • GREAT OAK ORAL SURGERY AND DENTAL IMPLANT CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

100 Great Oaks Blvd
Ste 112
Albany, NY 12203
Phone (518) 682-6400

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1992205801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREAT OAKS BLVD STE 112",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037924",
            "telephone_number": "518-682-6400",
            "fax_number": "518-682-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREAT OAKS BLVD STE 112",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037924",
            "telephone_number": "518-682-6400",
            "fax_number": "518-682-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH T FARREN DDS ORAL AND MAXILLOFACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "FARREN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "518-682-6400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT OAK ORAL SURGERY AND DENTAL IMPLANT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.