NPIMap

Organization Active NPI

Oral & Facial Surgery Center of Tallahassee, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tallahassee, FL
National Provider Identifier
1306172143
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ORAL & FACIAL SURGERY CENTER OF TALLAHASSEE, P.A.
Practice address
3375 Capital Circle NE BLDG D
Suite 2
Tallahassee, FL 32308-4334
Phone
(850) 386-4602
Fax
(850) 386-4206
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Dr. Barrett Tolley, DDSNPI 1356362149
Title
Owner
Phone
(850) 386-4602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

3375 Capital Circle NE BLDG D
Suite 2
Tallahassee, FL 32308-4334

Mailing address

1702 Riggins Rd
Suite 1 & 2
Tallahassee, FL 32308-5371
Phone (850) 386-4602

National Provider Directory

National Provider Directory
Tax ID family
Oral and Facial Surgery Center of2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1306172143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 RIGGINS RD",
            "address_2": "SUITE 1 & 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085371",
            "telephone_number": "850-386-4602",
            "fax_number": "850-386-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 CAPITAL CIRCLE NE BLDG D",
            "address_2": "SUITE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084334",
            "telephone_number": "850-386-4602",
            "fax_number": "850-386-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & FACIAL SURGERY CENTER OF TALLAHASSEE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "TOLLEY",
        "authorized_official_first_name": "BARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-386-4602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.