PENSACOLA ORAL AND FACIAL SURGERY NPI 1821721473

NPI Information

  • NPI: 1821721473
  • Provider Name: PENSACOLA ORAL AND FACIAL SURGERY
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 540 FONTAINE ST
    PENSACOLA, FL
    ZIP 32503
  • Phone: (850) 565-3911

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NPI Details

PENSACOLA ORAL AND FACIAL SURGERY is an oral maxillofacial surgery in Pensacola, FL. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. PENSACOLA ORAL AND FACIAL SURGERY NPI is 1821721473. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

540 FONTAINE ST
PENSACOLA, FL
ZIP 32503-019
Phone: (850) 565-3911
Fax: (850) 565-3912

The provider's authorized official is Aaron Wallender .
The authorized official title is Owner and has the following contact phone number (859) 907-5882.

The enumeration date for this NPI number is 7/1/2022 and was last updated on 10/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryNo
2204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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