ORAL & MAXILLOFACIAL SURGEONS INC (NPI# 1164414355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164414355 |
| Entity Type | Organization |
| Organization Name | ORAL & MAXILLOFACIAL SURGEONS INC |
| Other Organization Name | HARBOR LIGHT ORAL & MAXILLOFACIAL SURGEONS INC |
| Practice Address |
1850 Eastgate Rd Suite A Toledo OH 43614-3082 |
| Mailing Address |
Po Box 2142 Toledo OH 43603-2142 |
| Practice Telephone | 4193855743 |
| Practice Fax Number | 4193858835 |
| Mailing Telephone | 4195172110 |
| Mailing Fax Number | 4195172104 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS P SYDLOWSKI (PRESIDENT) |
| Authorized Official Telephone | 4198432121 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
========= | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2241489 | 05 | |
| OH | RR MEDICARE | DB2868 | 01 |
| Other Name | Type Code |
|---|---|
| Harbor Light Oral & Maxillofacial Surgeons Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030503 | Oral & Maxillofacial Surgeons Inc | Dentist | 4646 Nantucket Dr, Suite A, Toledo, OH 43623-3194 | 2005-08-16 |
| 1982696175 | Oral & Maxillofacial Surgeons Inc | Dentist | 970 W Wooster St, Suite 126, Bowling Green, OH 43402-2643 | 2005-08-16 |
| Street Address |
1850 EASTGATE RD SUITE A |
| City | TOLEDO |
| State | OH |
| Zip Code | 43614-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409979 | Karim Zafar | Internal Medicine | 1850 Eastgate Rd, Toledo, OH 43614-3082 | 2005-07-05 |
| 1659513695 | Raja Assad Hanif | Family Medicine | 1850 Eastgate Rd, Ste I, Toledo, OH 43614-3024 | 2009-04-06 |
| 1669620639 | Wee Care Pediatrics, Inc. | Pediatrics | 1850 Eastgate Rd, Suite C, Toledo, OH 43614-3082 | 2008-09-03 |
| 1871669630 | Physicians Group | Legal Medicine | 1850 Eastgate Rd, Suite Number C, Toledo, OH 43614-3082 | 2006-11-24 |
| 1811981947 | Lodovico S Aguillon | Internal Medicine | 1850 Eastgate Rd, Suite B, Toledo, OH 43614-3082 | 2005-09-05 |
| 1447242631 | Thomas P Sydlowski | Dentist | 1850 Eastgate Rd, Ste A, Toledo, OH 43614-3082 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1750910188 | Joseph Nabil Said Kamel | Student in an Organized Health Care Education/Training Program | 3120 Glendale Ave Ste L, Toledo, OH 43614 | 2020-04-07 |
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1154983120 | Yong Woo Jeon | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614 | 2019-06-30 |
| 1093372096 | Anwer Aldhaheri | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1095, Dowling Hall, Room 2153a, Toledo, OH 43614 | 2019-05-24 |
| 1073090205 | Syed Fahmeed Imam | Student in an Organized Health Care Education/Training Program | Ruppert Health Center, 3125 Transvers Dr, Toledo, OH 43614 | 2018-07-20 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| Find all providers in zip 43614 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528338704 | Timothy M. Lawrence, Dds, Ms, Inc. | Dentist | 4333 Monroe St Ste A, Toledo, OH 43606-1937 | 2012-01-05 |
| 1306074232 | Benjamin Jon-spoon Simonton | Dentist | 4646 Nantuckett Ste A, Toledo, OH 43623-3194 | 2009-06-30 |
| 1316939507 | Matthew K Holdship | Dentist | 4646 Nantucket Dr, Suite A, Toledo, OH 43623-3194 | 2005-08-16 |
| 1578568861 | Richard C Ziegler | Dentist | 4447 Talmadge Rd, Ste A, Toledo, OH 43623-3517 | 2005-06-15 |
| 1659538155 | Drs. Lawrence & Rottman, Inc. | Dentist | 4333 Monroe St, Suite A, Toledo, OH 43606-1981 | 2008-05-21 |
| 1386700953 | Timothy Melvin Lawrence | Dentist | 4333 Monroe St, Suite A, Toledo, OH 43606-1981 | 2006-12-28 |
| 1447242631 | Thomas P Sydlowski | Dentist | 1850 Eastgate Rd, Ste A, Toledo, OH 43614-3082 | 2005-08-16 |
| 1770575961 | Patrick J Mccabe | Dentist | 4646 Nantucket Dr, Ste A, Toledo, OH 43623-3194 | 2005-08-16 |
| 1326030503 | Oral & Maxillofacial Surgeons Inc | Dentist | 4646 Nantucket Dr, Suite A, Toledo, OH 43623-3194 | 2005-08-16 |
| 1891795233 | James E Mayer | Dentist | 4447 Talmadge Rd, Ste A, Toledo, OH 43623-3517 | 2005-07-28 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.