| Oral And Facial Surgery Center Of | |
|
3375 Capital Cir Ne Bldg D Suite 2 Tallahassee FL 32308-3778 | |
| (850) 386-4602 | |
| (850) 386-4206 |
| Full Name | Oral And Facial Surgery Center Of |
|---|---|
| Speciality | Dentist |
| Location | 3375 Capital Cir Ne Bldg D, Tallahassee, Florida |
| Authorized Official Name and Position | Barrett R Tolley (ORAL SURGEON / DENTIST) |
| Authorized Official Contact | 8503864602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Facial Surgery Center Of 3330 Capital Oaks Dr Ste 2 Tallahassee FL 32308-4513 Ph: (850) 386-4602 | Oral And Facial Surgery Center Of 3375 Capital Cir Ne Bldg D Suite 2 Tallahassee FL 32308-3778 Ph: (850) 386-4602 |
| NPI Number | 1770776155 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 2466524095 |
|---|---|
| Medicare Enrollment ID | O20080626000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770776155 | NPI | - | NPPES |
| 076811100 | Medicaid | FL | |
| 87451 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN17462 (Florida) | Primary |
| Provider Name | Barrett R Tolley |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356362149 PECOS PAC ID: 0547332165 Enrollment ID: I20080626000301 |
Edward A. Kotz, Jr., D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1913 Capital Cir Ne, Tallahassee, FL 32308 Phone: 850-878-5131 Fax: 850-878-3521 | |
Care Point Health & Wellness Dental Clinic Medicare: Medicare Enrolled Practice Location: 2200 South Monroe St, Tallahassee, FL 32301 Phone: 850-354-8765 Fax: 850-900-5941 | |
Coast Florida P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 S Blair Stone Rd Ste B, Tallahassee, FL 32301 Phone: 850-877-4313 Fax: 850-877-2039 | |
Nbw, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2808 N. Remington Green Circle, Suite 100, Tallahassee, FL 32308 Phone: 850-383-1052 Fax: 850-383-1366 | |
Cooke & Bryant Pl Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1618 Riggins Rd, Tallahassee, FL 32308 Phone: 850-878-6523 Fax: 850-877-8346 | |
Thomasville Road Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 Phone: 850-765-1289 Fax: 850-270-9699 | |
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