COASTAL CRANIOFACIAL, LLC – Oral & Maxillofacial Surgery (D.M.D.), NPI 1215438817

COASTAL CRANIOFACIAL, LLC is a healthcare provider. based in Pensacola, Florida. specializing in Oral & Maxillofacial Surgery (D.M.D.). The NPI Number for COASTAL CRANIOFACIAL, LLC is 1215438817

Main info

Organization
Name
COASTAL CRANIOFACIAL, LLC
NPI
1215438817
Phone
(850) 477-7715
Address
1100 AIRPORT BLVD STE A
Authorized Official
AARON WALLENDER PRESIDENT/OWNER MD
Enumeration Date
28 February 2018
Last Update Date
28 February 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for COASTAL CRANIOFACIAL, LLC

  • Airport Boulevard, Crestview, Brent, Pensacola, Escambia County, Florida, 32503, United States

    PENSACOLA, FL 325048622

    Phone: (850) 477-7715

    Fax: (850) 474-4823

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32504)

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Reviews

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Frequently asked questions

What federal number belongs to COASTAL CRANIOFACIAL, LLC?
The federal identifier for COASTAL CRANIOFACIAL, LLC is NPI 1215438817.
Is COASTAL CRANIOFACIAL, LLC's NPI currently valid?
The extract we use shows COASTAL CRANIOFACIAL, LLC as active.
What field does COASTAL CRANIOFACIAL, LLC work in?
You can think of COASTAL CRANIOFACIAL, LLC as practicing within Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
What location shows for COASTAL CRANIOFACIAL, LLC?
We surface Pensacola, Florida for COASTAL CRANIOFACIAL, LLC based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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