Organization
TOAFS LLC
Active
Parent organization
TOAFS LLC
Other names
Orta Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOAFS LLC
Authorized official
JACKIE HOLLOWAY (DIRECTOR REVENUE CYCLE MANAGEMENT)
(854) 200-7970
Entity
Organization
Contact information
Practice address
801 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603-3321
(813) 238-0411
Mailing address
3700 INGLESIDE BLVD, LADSON, SC 29456-4141
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
02/04/2026
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