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Northwest Florida Oral And Maxillofacial Surgery, Pa
Oral and Maxillofacial Surgery Clinic/Center in Pensacola, Florida
NPI 1699081919

Northwest Florida Oral And Maxillofacial Surgery, Pa is a Oral and Maxillofacial Surgery Clinic/Center based in Pensacola, FL and is specialized in Oral and Maxillofacial Surgery. Northwest Florida Oral And Maxillofacial Surgery, Pa practices in Pensacola, FL. The NPI Number for Northwest Florida Oral And Maxillofacial Surgery, Pa is 1699081919 and holds a License No. DN18924 (Florida).

The current practice location address for Northwest Florida Oral And Maxillofacial Surgery, Pa is 4850 N 9Th Ave Ste 1, Pensacola, FL and can be reached out via phone at 850-478-7070 and via fax at 850-476-2513. You can also correspond with Northwest Florida Oral And Maxillofacial Surgery, Pa through the mailing address at 4850 N 9TH AVE STE 1, PENSACOLA, FL - 32503-2406 (mailing address contact number: 850-478-7070).

Location: 4850 N 9Th Ave Ste 1, Pensacola, FL, 32503-2406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699081919
Provider Name
Northwest Florida Oral And Maxillofacial Surgery, Pa
Credential
Provider Entity Type
Organization
Address
4850 N 9Th Ave Ste 1, Pensacola, FL, 32503-2406
Phone Number
850-478-7070
Fax Number
850-476-2513
Provider Enumeration Date
08/24/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
076708500 05 FL
073210900 05 FL
institution
Provider Business Practice Location Address Details
Address
4850 N 9Th Ave Ste 1
City
Pensacola
State
Florida
Zip
32503-2406
Phone Number
850-478-7070
Fax Number
850-476-2513
person
Provider Business Mailing Address Details
Address
4850 N 9Th Ave Ste 1
City
Pensacola
State
Florida
Zip
32503-2406
Phone Number
850-478-7070
Fax Number
850-476-2513
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN 6078 (Florida)
Definition
The specialty of dentistry which includes 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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
DN18924 (Florida)
Definition
The specialty of dentistry which includes 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.
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