ORAL AND FACIAL SURGERY CENTER OF
NPI 1770776155
Dentist - Oral and Maxillofacial Surgery in Tallahassee, FL

Active since August 20, 2007
3375 CAPITAL CIR NE BLDG D, SUITE 2, TALLAHASSEE, FL 32308(850) 386-4602(850) 386-4206 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Oral And Facial Surgery Center Of NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL AND FACIAL SURGERY CENTER OF (NPI 1770776155) is a healthcare organization registered as an oral and maxillofacial surgery in Tallahassee, Florida and active in the NPI registry since August 2007. The organization lists Barrett R Tolley, Oral Surgeon / Dentist, as its authorized official.

NPPES Registry Identity

NPI1770776155
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL AND FACIAL SURGERY CENTER OF TALLAHASSEE
Location Address3375 CAPITAL CIR NE BLDG D, SUITE 2Tallahassee, FL 32308-3778
Mailing Address3330 Capital Oaks Dr Ste 2Tallahassee, FL 32308-4513 · (850) 386-4602 · Fax (850) 386-4206
Fax(850) 386-4206
Organization SubpartNo
Authorized OfficialBarrett R TolleyOral Surgeon / Dentist · (850) 386-4602
Enumeration DateAugust 20, 2007
Last NPPES UpdateMarch 27, 2019
✔ NPI 1770776155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · DN17462
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3375 CAPITAL CIR NE BLDG D, Tallahassee, FL 32308

Other Names 1

Doing Business AsOral And Facial Surgery Center Of

Other Identifiers 2

Medicaid076811100FL
Other87451FL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral And Facial Surgery Center Of is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20080626000391Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oral And Facial Surgery Center Of, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maxillofacial Surgery
NPI 1356362149
3330 CAPITAL OAKS DR
Tallahassee, FL 32308
(850) 386-4602
✔ PECOS✔ Accepts Medicare2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral And Facial Surgery Center Of Tallahassee's NPI number?

The NPI number for Oral And Facial Surgery Center Of Tallahassee is 1770776155. It was assigned to this organization in the NPPES registry on August 20, 2007. The provider is doing business as Oral And Facial Surgery Center Of.

Where is Oral And Facial Surgery Center Of Tallahassee located?

Oral And Facial Surgery Center Of Tallahassee is located at 3375 Capital Cir NE Bldg D Suite 2, Tallahassee, FL 32308. The listed phone number is (850) 386-4602.

What is Oral And Facial Surgery Center Of Tallahassee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Oral And Facial Surgery Center Of Tallahassee enrolled in Medicare?

Yes. Oral And Facial Surgery Center Of Tallahassee is registered in the Medicare PECOS enrollment system.

When is Oral And Facial Surgery Center Of Tallahassee's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Oral And Facial Surgery Center Of Tallahassee?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Oral And Facial Surgery Center Of Tallahassee. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oral And Facial Surgery Center Of Tallahassee accept?

Health plans from Ambetter Health, Ambetter of Alabama, Capital Health Plan and UnitedHealthcare list Oral And Facial Surgery Center Of Tallahassee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oral And Facial Surgery Center Of Tallahassee was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.