Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northwest Florida Oral and Maxillofacial Surgery, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1699081919

Northwest Florida Oral and Maxillofacial Surgery, PA is an Oral and Maxillofacial Surgery (Dentist) in Pensacola, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4850 N 9th Ave Ste 1 Ste 1
Pensacola, FL 32503-2406
Phone: (850) 478-7070
Fax: (850) 476-2513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence DN 6078 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN18924 (FL)
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X · Licence DN18924 (FL)

Record details

NPI number1699081919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Laggan — Oral & Maxillofacial Surgeon · (850) 478-7070
NPI enumeratedAugust 24, 2010
Last updated in NPPESApril 12, 2011
Mailing address4850 N 9th Ave Ste 1, Suite 1, Pensacola, FL 32503-2406

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