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COASTAL CRANIOFACIAL, LLC
NPI 1215438817
Oral & Maxillofacial Surgery in Pensacola, FL

Active since February 28, 2018
1100 AIRPORT BLVD STE A, PENSACOLA, FL 32504(850) 477-7715(850) 474-4823 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Craniofacial, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL CRANIOFACIAL, LLC (NPI 1215438817) is a healthcare organization registered as an oral & maxillofacial surgery in Pensacola, Florida and active in the NPI registry since February 2018. The organization lists Aaron Wallender, President/owner, as its authorized official.

NPPES Registry Identity

NPI1215438817
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameCOASTAL CRANIOFACIAL, LLC
Location Address1100 AIRPORT BLVD STE APensacola, FL 32504-8622
Mailing Address1100 Airport Blvd Ste APensacola, FL 32504-8622 · (850) 477-7715
Phone(850) 477-7715
Fax(850) 474-4823
Organization SubpartNo
Authorized OfficialAaron WallenderPresident/owner · (850) 477-7715
Enumeration DateFebruary 28, 2018
✔ NPI 1215438817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
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.
1100 AIRPORT BLVD STE A, Pensacola, FL 32504
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES CLAY SIMS D.M.D
Dentist (Orthodontics and Dentofacial Orthopedics)
1100 AIRPORT BLVD STE A
PENSACOLA, FL 32504
Escambia County (850) 477-7715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Craniofacial, LLC's NPI number?

The NPI number for Coastal Craniofacial, LLC is 1215438817. It was assigned to this organization in the NPPES registry on February 28, 2018.

Where is Coastal Craniofacial, LLC located?

Coastal Craniofacial, LLC is located at 1100 Airport Blvd Ste A, Pensacola, FL 32504. The listed phone number is (850) 477-7715.

What is Coastal Craniofacial, LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Coastal Craniofacial, LLC was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.