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

Pensacola Oral and Facial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1821721473

Pensacola Oral and Facial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Pensacola, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

540 Fontaine St
Pensacola, FL 32503-2019
Phone: (850) 565-3911
Fax: (850) 565-3912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1821721473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Wallender — Owner · (859) 907-5882
NPI enumeratedJuly 1, 2022
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address540 Fontaine St, Pensacola, FL 32503-2019

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