ORAL & MAXILLOFACIAL SURGEONS INC (NPI# 1326030503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326030503 |
| Entity Type | Organization |
| Organization Name | ORAL & MAXILLOFACIAL SURGEONS INC |
| Other Organization Name | HARBOR LIGHT ORAL & MAXILLOFACIAL SURGEONS INC |
| Practice Address |
4646 Nantucket Dr Suite A Toledo OH 43623-3194 |
| Mailing Address |
Po Box 2142 Toledo OH 43603-2142 |
| Practice Telephone | 4198432121 |
| Practice Fax Number | 4195175104 |
| 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 |
|---|---|---|---|---|
| 1164414355 | Oral & Maxillofacial Surgeons Inc | Dentist | 1850 Eastgate Rd, Suite A, Toledo, OH 43614-3082 | 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 |
4646 NANTUCKET DR SUITE A |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939507 | Matthew K Holdship | Dentist | 4646 Nantucket Dr, Suite A, Toledo, OH 43623-3194 | 2005-08-16 |
| 1770575961 | Patrick J Mccabe | Dentist | 4646 Nantucket Dr, Ste A, Toledo, OH 43623-3194 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
| 1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
| Find all providers in zip 43623 | ||||
| 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 |
| 1164414355 | Oral & Maxillofacial Surgeons Inc | Dentist | 1850 Eastgate Rd, Suite A, Toledo, OH 43614-3082 | 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 | ||||
Please comment or provide details below to improve the information on ORAL & MAXILLOFACIAL SURGEONS INC.
| 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.