Pensacola Oral and Facial Surgery

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

PENSACOLA ORAL AND FACIAL SURGERY

Practice address

540 Fontaine St
Pensacola, FL 32503-2019

Phone

(850) 565-3911

Fax

(850) 565-3912

NPI assigned

Jul 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aaron Wallender, DDS, MDNPI 1306001920

Title

Owner

Phone

(859) 907-5882

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron C Wallender, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Pensacola, FL
  • NPI 1306001920
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1821721473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FONTAINE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032019",
            "telephone_number": "850-565-3911",
            "fax_number": "850-565-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FONTAINE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032019",
            "telephone_number": "850-565-3911",
            "fax_number": "850-565-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "WALLENDER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-907-5882",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pensacola Orthotic & Prosthetic Specialties, Inc
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• Pensacola Pediatrics PA
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• Oral & Maxillofacial Surgery (D.M.D.) in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.