Tallahassee Facial Pain Center PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN15520 Issued in FL

Legal business name

TALLAHASSEE FACIAL PAIN CENTER PA

Practice address

2880 Capital Medical Blvd
Suite 1
Tallahassee, FL 32308-4671

Phone

(850) 309-0095

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Arthur Woodruff, D.M.D.NPI 1003997107

Title

President

Phone

(850) 309-0095

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Arthur Woodruff, D.M.D.

  • General Practice Dentistry
  • Tallahassee, FL
  • NPI 1003997107
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205055787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 CAPITAL MEDICAL BLVD",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 CAPITAL MEDICAL BLVD",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084671",
            "telephone_number": "850-309-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE FACIAL PAIN CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-309-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tallahassee Endocrine Associates
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• Tallahassee Endodontics
• Tallahassee Endoscopy Center Inc
• Tallahassee Enhanced Care PA
• Tallahassee Facility Operations LLC (Tallahassee Living Center)
• Tallahassee Family Clinic, LLC
• Tallahassee GYN-Oncology LLC
• Tallahassee Imaging Partners LLC (Clear Connect Medical Imaging Tallahassee)
• Tallahassee Medical Center Inc (HCA Florida Capital Hospital)

• Dentist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.