Organization
ORAL AND FACIAL SURGERY CENTER OF TALLAHASSEE
Active
Organization
ORAL AND FACIAL SURGERY CENTER OF TALLAHASSEE
Active
Other names
Oral and Facial Surgery Center of
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRETT R TOLLEY D.D.S. (ORAL SURGEON / DENTIST)
(850) 386-4602
Entity
Organization
Contact information
Practice address
3375 CAPITAL CIR NE BLDG D, SUITE 2, TALLAHASSEE, FL 32308-3778
(850) 386-4602
(850) 386-4206
Mailing address
3330 CAPITAL OAKS DR STE 2, TALLAHASSEE, FL 32308-4513
(850) 386-4602
(850) 386-4206
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076811100
—
FL
01
—
87451
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/20/2007
Last updated
03/27/2019
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