# ORAL & FACIAL SURGERY CENTER OF TALLAHASSEE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306172143
- **Authorized official:** DR. BARRETT TOLLEY DDS (OWNER)
- **Authorized official phone:** (850) 386-4602

## Contact information

- **Practice address:** 3375 CAPITAL CIRCLE NE BLDG D, SUITE 2, TALLAHASSEE, FL 32308-4334
- **Practice address phone:** (850) 386-4602
- **Practice address fax:** (850) 386-4206
- **Mailing address:** 1702 RIGGINS RD, SUITE 1 & 2, TALLAHASSEE, FL 32308-5371
- **Mailing address phone:** (850) 386-4602
- **Mailing address fax:** (850) 386-4206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2009
- **Last updated:** 10/29/2009