is a Dental Clinic in Tallahassee, Florida. It is located at 3612 Austin Davis Ave, Tallahassee, FL and its contact number is 850-877-0215. The authorized person for is Angela Kaye Hollifield
who is Office Manager of the clinic and their contact number is 850-877-0215. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
3612 Austin Davis Ave, Tallahassee, Florida, 32308-7401
Phone:
850-877-0215
Fax:
850-329-2642
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Angela Kaye Hollifield
Position:
Office Manager
Contact Number:
850-877-0215
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1821294984
NPI Enumeration Date:
25 Jun, 2007
NPI Last Update On:
29 Apr, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Dentist
DN8129
Florida
Secondary
Dentist
DN16145
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
60053
Other
Florida
Blue Cross Blue Shield
60053
Other
Florida
Bc/bs
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3612 Austin Davis Ave, Tallahassee, Florida
Zip:
32308-7401
Phone Number:
850-877-0215
Fax Number:
850-329-2642
Patients can reach at 3612 Austin Davis Ave, Tallahassee, Florida or can call to book an appointment on 850-877-0215. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.