Provider Demographics
NPI:1326086109
Name:TOOHEY, MICHAEL R (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:TOOHEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 S MAIN ST.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2264
Mailing Address - Country:US
Mailing Address - Phone:609-465-9600
Mailing Address - Fax:609-465-0336
Practice Address - Street 1:211 S. MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2264
Practice Address - Country:US
Practice Address - Phone:609-465-9600
Practice Address - Fax:609-465-0336
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018071-L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0000010853OtherBLUE CROSS/BLUE SHIELD
PA0032772000OtherAMERIHEALTH PERS CHOICE
PA55144OtherAETNA
PA0032772000OtherKEYSTONE
PA0032772000OtherPERSONAL CHOICE
PA010853OtherBLUE SHIELD FEDERAL
PA010853OtherAMERIHEALTH
PA3504944OtherCIGNA HMO & PPO
PA0032772000OtherAMERIHEALTH HMO
PA0000010853OtherBLUE CROSS/BLUE SHIELD