Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tallahassee Oral and Maxillofacial Surgery, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1902398639

Tallahassee Oral and Maxillofacial Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Tallahassee, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3665 Coolidge Ct Ste 102
Tallahassee, FL 32311-7894
Phone: (850) 431-6725
Fax: (850) 431-6859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1902398639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Ortiz — Oral And Maxillofacial Surgeon · (787) 556-6039
NPI enumeratedMay 30, 2018
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021
Mailing address3665 Coolidge Ct Ste 102, Tallahassee, FL 32311-7894

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