DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC

MEDICARE: BLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center30-1-8892OH

General Provider Information

NPI Number : 1588759609
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC
Provider Business Mailing Address
First Line : 4350 MALSBARY RD
Second Line : SUITE 201
City : CINCINNATI
State : OH
Zip : 45242-5621
Country : US
Telephone Number : 513-984-2100
Fax Number : 513-984-2155
Provider Business Practice Location Address
First Line : 4350 MALSBARY RD
Second Line : SUITE 201
City : CINCINNATI
State : OH
Zip : 45242-5621
Country : US
Telephone Number : 513-984-2100
Fax Number : 513-984-2155
Authorized Official
Title or Position : OWNER
Name : DR. RANDALL DAVID STASTNY
Credential : D.M.D.
Telephone Number : 513-984-2100
Provider Enumeration Date : 10/04/2006
Last Update Date : 03/04/2008

Similar Medicare Providers

1063416808 — ONCOLOGY HEMATOLOGY CARE, INC.
Practice Location Address:
4350 MALSBARY RD
CINCINNATI, OH
45242-5621
Practice Phone: 513-751-2273
Practice Fax: 513-792-5844
1740274117 — DR. DAVID L KIRLIN MD
Practice Location Address:
4350 MALSBARY RD
CINCINNATI, OH
45242-5621
Practice Phone: 513-751-2273
Practice Fax: 513-792-5844
1093709297 — DR. PATRICK J WARD MD
Practice Location Address:
4350 MALSBARY RD
CINCINNATI, OH
45242-5621
Practice Phone: 513-751-2273
Practice Fax: 513-792-5844
1518951797 — DR. NANCY L SIMON MD
Practice Location Address:
4350 MALSBARY RD
CINCINNATI, OH
45242-5621
Practice Phone: 513-751-2273
Practice Fax: 513-792-5844
1124083407 — ANDREW S GUINIGUNDO CNP
Practice Location Address:
4350 MALSBARY RD
CINCINNATI, OH
45242-5621
Practice Phone: 513-751-2273
Practice Fax: 513-792-5844
1366631806 — MRS. LATRICE JOSEPHINE DAVIS RN
Practice Location Address:
5621 VIEW POINTE DR APT C
CINCINNATI, OH
45213-2634
Practice Phone: 513-546-2587
Practice Fax:

Directions to “BLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.