NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, PA
NPI 1699081919
Clinic/Center - Oral and Maxillofacial Surgery in Pensacola, FL

Active since August 24, 2010
4850 N 9TH AVE STE 1, SUITE 1, PENSACOLA, FL 32503(850) 478-7070(850) 476-2513 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northwest Florida Oral And Maxillofacial Surgery, Pa NPPES

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

NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, PA (NPI 1699081919) is a healthcare organization registered as an oral and maxillofacial surgery in Pensacola, Florida and active in the NPI registry since August 2010. The organization lists Brett T. Laggan, Oral & Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1699081919
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameNORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, PA
Location Address4850 N 9TH AVE STE 1, SUITE 1Pensacola, FL 32503-2406
Mailing Address4850 N 9th Ave Ste 1, Suite 1Pensacola, FL 32503-2406 · (850) 478-7070 · Fax (850) 476-2513
Fax(850) 476-2513
Organization SubpartNo
Authorized OfficialBrett T. LagganOral & Maxillofacial Surgeon · (850) 478-7070
Enumeration DateAugust 24, 2010
Last NPPES UpdateApril 12, 2011
NPI 1699081919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Licenses Licensed in FL · DN 6078 Licensed in FL · DN18924
Definition

An oral and maxillofacial surgery clinic or center specialized in 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.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DN18924 (FL)
4850 N 9TH AVE STE 1, Pensacola, FL 32503

Other Identifiers 3

Medicaid076708500FL
Medicare UPINT78763FL
Medicaid073210900FL

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 2

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

Clinic/Center (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 1
PENSACOLA, FL 32503
Dentist (Oral and Maxillofacial Surgery)
4850 N 9TH AVE STE 1
PENSACOLA, FL 32503

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 Northwest Florida Oral And Maxillofacial Surgery, PA's NPI number?

The NPI number for Northwest Florida Oral And Maxillofacial Surgery, PA is 1699081919. It was assigned to this organization in the NPPES registry on August 24, 2010.

Where is Northwest Florida Oral And Maxillofacial Surgery, PA located?

Northwest Florida Oral And Maxillofacial Surgery, PA is located at 4850 N 9th Ave Ste 1 Suite 1, Pensacola, FL 32503. The listed phone number is (850) 478-7070.

What is Northwest Florida Oral And Maxillofacial Surgery, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Northwest Florida Oral And Maxillofacial Surgery, PA was last updated on April 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.