Northwest Florida Oral And Maxillofacial Surgery, P.A.
LBN: Northwest Florida Oral And Maxillofacial Surgery, P.A.
Northwest Florida Oral And Maxillofacial Surgery, P.A. is an health care organization with primary practice located at 4850 N 9Th Ave Ste 1 , Pensacola FL 32503-2407. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery. Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery is the primary health care specialty.
Northwest Florida Oral And Maxillofacial Surgery, P.A. can be contacted via phone (850) 478-7070, or through Laggan, Brett T. via phone (850) 478-7070.
Contact Information
Primary practice address
4850 N 9Th Ave Ste 1
Pensacola FL 32503-2407
Phone: (850) 478-7070
Fax: (850) 476-2513
Website:
Authorized official contact:
Name: Laggan, Brett T. Doctor of Dental Surgery (DDS)
Phone: (850) 478-7070
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN18924 | Florida |
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X | DN18924 | Florida |
Profile Details
| NPI number | 1598069239 |
|---|---|
| LBN Legal business name | Northwest Florida Oral And Maxillofacial Surgery, P.A. |
| DBA Doing business as | |
| Authorized official | Laggan, Brett T. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 10th, 2011 |
| Last updated | Apr 20th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598069239 | NPPES |
| Florida | MEDICAID | 073210900 | |
| Florida | MEDICAID | 076708500 |
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