NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, PA


Address: 4850 N 9th Ave Ste 1, Suite 1, Pensacola, FL 32503-2406
Phone: 8504787070

NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, PA (NPI# 1699081919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699081919
Entity Type Organization
Organization Name NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, PA
Practice Address 4850 N 9th Ave Ste 1
Suite 1
Pensacola
FL 32503-2406
Practice Telephone 8504787070
Practice Fax Number 8504762513
Mailing Telephone 8504787070
Mailing Fax Number 8504762513
Enumeration Date 2010-08-24
Last Update Date 2011-04-12
Authorized Official Name DR. BRETT T. LAGGAN (ORAL & MAXILLOFACIAL SURGEON)
Authorized Official Telephone 8504787070
Authorized Official Credential D.D.S
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DN18924 FL Dental Providers
N 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
DN18924 FL Ambulatory Health Care Facilities
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
DN 6078 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 076708500 05
FL 073210900 05

Office Location

Street Address 4850 N 9TH AVE STE 1
SUITE 1
City PENSACOLA
State FL
Zip Code 32503-2406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629049507 Brett Thomas Laggan Dentist 4850 N 9th Ave Ste 1, Pensacola, FL 32503-2406 2006-01-30
1598069239 Northwest Florida Oral and Maxillofacial Surgery, P.a. Dentist 4850 N 9th Ave Ste 1, Pensacola, FL 32503-2407 2011-01-10
1629167101 John Larry Morris Dentist 4850 N 9th Ave Ste 1, Pensacola, FL 32503-2406 2006-10-12

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and state

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
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Competitor

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City PENSACOLA
Zip Code 32503

Improve Information

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Dataset Information

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.

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