ORAL & FACIAL SURGERY CENTER OF TALLAHASSEE, P.A. (NPI# 1306172143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306172143 |
| Entity Type | Organization |
| Organization Name | ORAL & FACIAL SURGERY CENTER OF TALLAHASSEE, P.A. |
| Practice Address |
3375 Capital Circle Ne Bldg D Suite 2 Tallahassee FL 32308-4334 |
| Mailing Address |
1702 Riggins Rd Suite 1 & 2 Tallahassee FL 32308-5371 |
| Practice Telephone | 8503864602 |
| Practice Fax Number | 8503864206 |
| Mailing Telephone | 8503864602 |
| Mailing Fax Number | 8503864206 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |
| Authorized Official Name | DR. BARRETT TOLLEY (OWNER) |
| Authorized Official Telephone | 8503864602 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
3375 CAPITAL CIRCLE NE BLDG D SUITE 2 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770776155 | Oral and Facial Surgery Center of Tallahassee | Dentist | 3375 Capital Cir Ne Bldg D, Suite 2, Tallahassee, FL 32308-3778 | 2007-08-20 |
| 1508906934 | Steven Clark Bryan | Dentist | 2632 Mitcham Dr, Tallahassee, FL 32308-5400 | 2007-02-07 |
| 1881731891 | Lawrence J Pijut Dmd Pa | Dentist | 2560 Capital Medical Blvd, Tallahassee, FL 32308-4424 | 2007-01-31 |
| 1083693055 | Daniel Leon Bower | Dentist | 1702 Riggins Rd, Tallahassee, FL 32308-5371 | 2006-01-10 |
| 1427660703 | Red Hills Oral and Facial Surgery, Pa | Dentist | 2648 Centennial Pl, Tallahassee, FL 32308-0572 | 2020-08-19 |
| 1649892399 | Tallahassee Memorial Healthcare Inc | Dentist | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2020-05-15 |
| 1902398639 | Tallahassee Oral and Maxillofacial Surgery, Pllc | Dentist | 2929 Capital Medical Blvd, Tallahassee, FL 32308-4407 | 2018-05-30 |
| 1114416112 | James Tagoni Dmd Md Pllc | Dentist | 1309 Thomasville Rd, Tallahassee, FL 32303-5607 | 2018-05-04 |
| 1619477668 | Ricardoomfs.l.l.c | Dentist | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2018-02-16 |
| 1073834248 | James R Tagoni | Dentist | 2929 Capital Medical Blvd, Tallahassee, FL 32308-4407 | 2010-06-22 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.