NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. (NPI# 1598069239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598069239 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. |
| Practice Address |
4850 N 9th Ave Ste 1 Pensacola FL 32503-2407 |
| Practice Telephone | 8504787070 |
| Practice Fax Number | 8504762513 |
| Mailing Telephone | 8504787070 |
| Mailing Fax Number | 8504762513 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-04-20 |
| Authorized Official Name | DR. BRETT T. LAGGAN (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 8504787070 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN18924 | FL | Dental Providers |
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
DN18924 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 076708500 | 05 | |
| FL | 073210900 | 05 |
| Street Address |
4850 N 9TH AVE STE 1 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629049507 | Brett Thomas Laggan | Dentist | 4850 N 9th Ave Ste 1, Pensacola, FL 32503-2406 | 2006-01-30 |
| 1699081919 | Northwest Florida Oral and Maxillofacial Surgery, Pa | Dentist | 4850 N 9th Ave Ste 1, Suite 1, Pensacola, FL 32503-2406 | 2010-08-24 |
| 1629167101 | John Larry Morris | Dentist | 4850 N 9th Ave Ste 1, Pensacola, FL 32503-2406 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875968 | Aq Surgery LLC | Clinic/Center | 14050 Integra Dr Apt 1134, Jacksonville, FL 32218-2666 | 2020-06-10 |
| 1568095255 | Broward Oral Surgery Pa | Clinic/Center | 3157 N University Dr Ste 104, Pembroke Pines, FL 33024-2258 | 2020-02-20 |
| 1497221352 | Ac O&m Services LLC | Clinic/Center | 4675 Van Dyke Rd, Lutz, FL 33558-4880 | 2018-10-18 |
| 1326549080 | Dental Designs of Naples LLC | Clinic/Center | 5048 Tamiami Trl N Ste A, Naples, FL 34103-2836 | 2018-02-27 |
| 1407395361 | Barry C Levine Dmd Pa | Clinic/Center | 5212 E Fowler Ave, Temple Terrace, FL 33617-2147 | 2017-02-13 |
| 1760722474 | Oral and Facial Surgery of Florida, Inc. | Clinic/Center | 19051 Us Highway 441, Suite 104, Mount Dora, FL 32757-6708 | 2013-02-18 |
| 1316211196 | Trevisani Oral Surgery | Clinic/Center | 511 Wekiva Commons Cir, Apopka, FL 32712-3645 | 2012-02-27 |
| 1386957744 | Regina H. Saenz, Dds, Pa | Clinic/Center | 950 N Krome Ave Ste 204, Homestead, FL 33030-4455 | 2010-07-14 |
| 1598883043 | Philip Marciano, M.d., P.a. | Clinic/Center | 9975 Tamiami Trl N, #4, Naples, FL 34108-1942 | 2007-03-26 |
| 1073143731 | Swan Oral & Facial Surgery, LLC | Clinic/Center | 407 S Kentucky Ave, Lakeland, FL 33801-5301 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.