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ORAL & MAXILLOFACIAL SURGEONS INC NPI 1982696175


NPI Information

NPI: 1982696175
Provider Name: ORAL & MAXILLOFACIAL SURGEONS INC

Other Name: HARBOR LIGHT ORAL & MAXILLOFACIAL SURGEONS INC

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
970 W WOOSTER ST
SUITE 126
BOWLING GREEN, OH
ZIP 43402
Phone: (419) 353-2100
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ORAL & MAXILLOFACIAL SURGEONS INC is an oral and maxillofacial surgery dentist in Bowling Green, OH. The provider is an oral and maxillofacial surgery dentist specialized in 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. ORAL & MAXILLOFACIAL SURGEONS INC NPI is 1982696175. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Harbor Light Oral & Maxillofacial Surgeons Inc.

The provider's business location address is:

970 W WOOSTER ST
SUITE 126
BOWLING GREEN, OH
ZIP 43402-643
Phone: (419) 353-2100
Fax: (419) 353-6606

The provider's authorized official is Patrick J Mccabe .
The authorized official title is President and has the following contact phone number (419) 517-2100.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 7/21/2022.


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
11223S0112XDentistOral and Maxillofacial SurgeryOHIOYes

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
12241498MEDICAIDOHIO
22241489MEDICAIDOHIO
3DB2868OTHEROHIORR MEDICARE

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: 5/5/2024

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