PATRICK J MCCABE DDS NPI 1770575961

NPI Information

NPI: 1770575961
Provider Name: PATRICK J MCCABE, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: ORAL AND MAXILLOFACIAL SURGEONS INC

PECOS Registration: Yes

Address:
4646 NANTUCKET DR
STE A
TOLEDO, OH
ZIP 43623
Phone: (419) 843-2112
Get Directions

Patrick J Mccabe, DDS is an oral and maxillofacial surgery dentist in Toledo, OH with 35 years of experience. 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. Patrick J Mccabe, DDS NPI is 1770575961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Graduation Year:1989

The provider's business location address is:

4646 NANTUCKET DR
STE A
TOLEDO, OH
ZIP 43623-194
Phone: (419) 843-2112
Fax: (419) 517-2104

The NPI 1770575961 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 6/7/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	30-02-0621	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000127868	OTHER	OHIO	ANTHEM BC
2	0895525	MEDICARE PIN	OHIO
3	0895523	MEDICARE PIN	OHIO
4	190009573	OTHER	OHIO	RR MEDICARE
5	U77990	MEDICARE UPIN
6	0895524	MEDICARE PIN	OHIO
7	190009574	OTHER	OHIO	RR MEDICARE
8	2149508	MEDICAID	OHIO

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

NPI Synchronization or Removal

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