Harbor Light Oral & Maxillofacial Surgeons Inc – Oral and Maxillofacial Surgery (Dentist), NPI 1164414355
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Harbor Light Oral & Maxillofacial Surgeons Inc
PO BOX 2142
TOLEDO, OH 436032142
Phone: (419) 517-2110
Fax: (419) 517-2104
Type: Mailing
1850, Eastgate Road, Toledo, Lucas County, Ohio, 43614, United States
SUITE A
TOLEDO, OH 436143082
Phone: (419) 385-5743
Fax: (419) 385-8835
Type: Location
4646 NANTUCKETT DR STE A
TOLEDO, OH 436233194
Phone: (419) 517-2100
Fax: (419) 517-2105
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-05
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43603)
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