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
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