| Oral & Facial Surgery Center Of Tallahassee, P.a. | |
|
3375 Capital Circle Ne Bldg D Suite 2 Tallahassee FL 32308-4334 | |
| (850) 386-4602 | |
| (850) 386-4206 |
| Full Name | Oral & Facial Surgery Center Of Tallahassee, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3375 Capital Circle Ne Bldg D, Tallahassee, Florida |
| Authorized Official Name and Position | Barrett Tolley (OWNER) |
| Authorized Official Contact | 8503864602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Facial Surgery Center Of Tallahassee, P.a. 1702 Riggins Rd Suite 1 & 2 Tallahassee FL 32308-5371 Ph: (850) 386-4602 | Oral & Facial Surgery Center Of Tallahassee, P.a. 3375 Capital Circle Ne Bldg D Suite 2 Tallahassee FL 32308-4334 Ph: (850) 386-4602 |
| NPI Number | 1306172143 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 10/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306172143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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