Healthcare Provider Details

I. General information

NPI: 1326086109
Provider Name (Legal Business Name): MICHAEL R. TOOHEY D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S. MAIN ST SUITE 201
CAPE MAY COURT HOUSE NJ
08210-2264
US

IV. Provider business mailing address

211 S MAIN ST. SUITE 201
CAPE MAY COURT HOUSE NJ
08210-2264
US

V. Phone/Fax

Practice location:
  • Phone: 609-465-9600
  • Fax: 609-465-0336
Mailing address:
  • Phone: 609-465-9600
  • Fax: 609-465-0336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS018071-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: