Organization
ORAL & MAXILLOFACIAL SURGEONS INC
Active
Organization
ORAL & MAXILLOFACIAL SURGEONS INC
Active
Other names
Harbor Light Oral & Maxillofacial Surgeons Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J MCCABE DDS (PRESIDENT)
(419) 517-2100
Entity
Organization
Contact information
Practice address
1850 EASTGATE RD, SUITE A, TOLEDO, OH 43614-3082
(419) 385-5743
(419) 385-8835
Mailing address
4646 NANTUCKETT DR STE A, TOLEDO, OH 43623-3194
(419) 517-2100
(419) 517-2105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2241489
—
OH
01
—
DB2868
RR MEDICARE
OH
Enumeration date
08/16/2005
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up