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ORAL & MAXILLOFACIAL SURGEONS INC NPI 1326030503


NPI Information

NPI: 1326030503
Provider Name: ORAL & MAXILLOFACIAL SURGEONS INC

Other Name: HARBOR LIGHT ORAL & MAXILLOFACIAL SURGEONS INC.

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4646 NANTUCKET DR
SUITE A
TOLEDO, OH
ZIP 43623
Phone: (419) 843-2121
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ORAL & MAXILLOFACIAL SURGEONS INC is an oral and maxillofacial surgery dentist in Toledo, OH. The provider is 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. ORAL & MAXILLOFACIAL SURGEONS INC NPI is 1326030503. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Harbor Light Oral & Maxillofacial Surgeons Inc..

The provider's business location address is:

4646 NANTUCKET DR
SUITE A
TOLEDO, OH
ZIP 43623-194
Phone: (419) 843-2121
Fax: (419) 517-5104

The provider's authorized official is Patrick J Mccabe .
The authorized official title is President and has the following contact phone number (419) 517-2100.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 7/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery=========OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DB2868OTHEROHIORR MEDICARE
22241489MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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