Harbor Light Oral & Maxillofacial Surgeons Inc | |
1850 Eastgate Rd Suite A Toledo OH 43614-3082 | |
(419) 385-5743 | |
(419) 385-8835 |
Full Name | Harbor Light Oral & Maxillofacial Surgeons Inc |
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Speciality | Dentist |
Location | 1850 Eastgate Rd, Toledo, Ohio |
Authorized Official Name and Position | Patrick J Mccabe (PRESIDENT) |
Authorized Official Contact | 4195172100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harbor Light Oral & Maxillofacial Surgeons Inc 4646 Nantuckett Dr Ste A Toledo OH 43623-3194 Ph: (419) 517-2100 | Harbor Light Oral & Maxillofacial Surgeons Inc 1850 Eastgate Rd Suite A Toledo OH 43614-3082 Ph: (419) 385-5743 |
NPI Number | 1164414355 |
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Provider Enumeration Date | 08/16/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 2062305691 |
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Medicare Enrollment ID | O20040205001344 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164414355 | NPI | - | NPPES |
2241489 | Medicaid | OH | |
DB2868 | Other | OH | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Ohio) | Primary |
Provider Name | Matthew K Holdship |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1316939507 PECOS PAC ID: 2860386877 Enrollment ID: I20040211000247 |
Provider Name | Patrick J Mccabe |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1770575961 PECOS PAC ID: 1052204682 Enrollment ID: I20110708000519 |
Provider Name | Brian M Oneill |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1841282027 PECOS PAC ID: 7214115575 Enrollment ID: I20110711000234 |
Provider Name | Thomas P Sydlowski |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1447242631 PECOS PAC ID: 2961395595 Enrollment ID: I20110812000490 |
Provider Name | Benjamin J Simonton |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1306074232 PECOS PAC ID: 6901112143 Enrollment ID: I20150902000742 |
Provider Name | Alexandra A Seal |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1225406622 PECOS PAC ID: 5991072639 Enrollment ID: I20170530001799 |
Provider Name | Amaka Jennifer Amakwe |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1467808790 PECOS PAC ID: 2769778935 Enrollment ID: I20231106003088 |
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