Individual provider · Type 1 NPI

Jeremy Lassetter, DDS

Oral and Maxillofacial Surgery (Dentist) · Albany, NY

NPI number 1457542417 Active

Practice location

5 Palisades Dr, Suite 210
Albany, NY 12205-6433

Call (518) 348-0634 Map

Fax (518) 426-3221

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X8682 (TN)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X055974 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1457542417

Jeremy Lassetter, DDS's National Provider Identifier is 1457542417, issued on Aug 6, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Albany, NY. The record was last updated on Oct 16, 2013.