| Harbor Light Oral & Maxillofacial Surgeons Inc. | |
|
4646 Nantucket Dr Suite A Toledo OH 43623-3194 | |
| (419) 843-2121 | |
| (419) 517-5104 |
| Full Name | Harbor Light Oral & Maxillofacial Surgeons Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4646 Nantucket Dr, Toledo, Ohio |
| Authorized Official Name and Position | Patrick J Mccabe (PRESIDENT) |
| Authorized Official Contact | 4195172100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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. 4646 Nantucket Dr Suite A Toledo OH 43623-3194 Ph: (419) 843-2121 |
| NPI Number | 1326030503 |
|---|---|
| Provider Enumeration Date | 08/16/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326030503 | NPI | - | NPPES |
| 2241489 | Medicaid | OH | |
| DB2868 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Ohio) | Primary |
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