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COASTAL CRANIOFACIAL LLC NPI 1215438817


NPI Information

NPI: 1215438817
Provider Name: COASTAL CRANIOFACIAL, LLC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
1100 AIRPORT BLVD STE A
PENSACOLA, FL
ZIP 32504
Phone: (850) 477-7715
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COASTAL CRANIOFACIAL, LLC 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. COASTAL CRANIOFACIAL, LLC NPI is 1215438817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 AIRPORT BLVD STE A
PENSACOLA, FL
ZIP 32504-622
Phone: (850) 477-7715
Fax: (850) 474-4823

The provider's authorized official is Aaron Wallender .
The authorized official title is President/owner and has the following contact phone number (850) 477-7715.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 2/28/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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