| Organization Name: | ALBANY ADVANCED DENTAL CARE |
| NPI Number: | 1609034495 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARVIND SUBRAMANIAN (OWNER) |
| Mailing Address: | 562 Albany Shaker Rd Loudonville |
| State: | NY US |
| Postal Code: | 122112118 |
| Phone Number: | 5184581620 |
| Fax Number: | 5184582190 |
| NPI Enumeration Date: | 05/28/2008 |
| NPI Last Update Date: | 05/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 049120 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |