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ORAL AND FACIAL SURGERY CENTER OF TALLAHASSEE NPI 1770776155


NPI Information

NPI: 1770776155
Provider Name: ORAL AND FACIAL SURGERY CENTER OF TALLAHASSEE

Doing Business As: ORAL AND FACIAL SURGERY CENTER OF

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3375 CAPITAL CIR NE BLDG D
SUITE 2
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 386-4602
Get Directions

ORAL AND FACIAL SURGERY CENTER OF TALLAHASSEE is an oral and maxillofacial surgery dentist in Tallahassee, FL. The provider is 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. ORAL AND FACIAL SURGERY CENTER OF TALLAHASSEE NPI is 1770776155. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oral And Facial Surgery Center Of.

The provider's business location address is:

3375 CAPITAL CIR NE BLDG D
SUITE 2
TALLAHASSEE, FL
ZIP 32308-778
Phone: (850) 386-4602
Fax: (850) 386-4206

The provider's authorized official is Barrett R Tolley .
The authorized official title is Oral Surgeon / Dentist and has the following contact phone number (850) 386-4602.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 3/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDN17462FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1076811100MEDICAIDFLORIDA
287451OTHERFLORIDABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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