HARBOR LIGHT ORAL & MAXILLOFACIAL SURGEONS INC
NPI 1164414355
Dentist - Oral and Maxillofacial Surgery in Toledo, OH

Active since August 16, 2005
1850 EASTGATE RD, SUITE A, TOLEDO, OH 43614(419) 385-5743(419) 385-8835 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 27, 2021, Aug 22, 2020 and 1 more (4 updates tracked since 2018).

About Harbor Light Oral & Maxillofacial Surgeons Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARBOR LIGHT ORAL & MAXILLOFACIAL SURGEONS INC (NPI 1164414355) is a healthcare organization registered as an oral and maxillofacial surgery in Toledo, Ohio and active in the NPI registry since August 2005. The organization lists Patrick J Mccabe, President, as its authorized official.

NPPES Registry Identity

NPI1164414355
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL & MAXILLOFACIAL SURGEONS INC
Location Address1850 EASTGATE RD, SUITE AToledo, OH 43614-3082
Mailing Address4646 Nantuckett Dr Ste AToledo, OH 43623-3194 · (419) 517-2100 · Fax (419) 517-2105
Fax(419) 385-8835
Organization SubpartNo
Authorized OfficialPatrick J MccabePresident · (419) 517-2100
Enumeration DateAugust 16, 2005
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
✔ NPI 1164414355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
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.
1850 EASTGATE RD, Toledo, OH 43614

Other Names 1

Doing Business AsHarbor Light Oral & Maxillofacial Surgeons Inc

Other Identifiers 2

OtherDB2868OH · Rr Medicare
Medicaid2241489OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harbor Light Oral & Maxillofacial Surgeons Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Harbor Light Oral & Maxillofacial Surgeons Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1225406622
4646 NANTUCKETT DR STE A
Toledo, OH 43623
(419) 351-8611
✔ PECOS6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral & Maxillofacial Surgeons Inc's NPI number?

The NPI number for Oral & Maxillofacial Surgeons Inc is 1164414355. It was assigned to this organization in the NPPES registry on August 16, 2005. The provider is doing business as Harbor Light Oral & Maxillofacial Surgeons Inc.

Where is Oral & Maxillofacial Surgeons Inc located?

Oral & Maxillofacial Surgeons Inc is located at 1850 Eastgate Rd Suite A, Toledo, OH 43614. The listed phone number is (419) 385-5743.

What is Oral & Maxillofacial Surgeons Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Oral & Maxillofacial Surgeons Inc enrolled in Medicare?

Yes. Oral & Maxillofacial Surgeons Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral & Maxillofacial Surgeons Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Oral & Maxillofacial Surgeons Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oral & Maxillofacial Surgeons Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.