NPI
Blue Ash Oral and Maxillofacial Surgery, Inc
Phone (513) 984-2100 · Fax (513) 984-2155 · NPI 1588759609
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-10-04
- Last updated
- 2008-03-04
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Specialties
Licenses
- License OH
- 30-1-8892
Location
- Practice location
- 4350 Malsbary Rd, Suite 201
- City
- Cincinnati OH
- Postal code
- 45242-5621
- Phone
- (513) 984-2100
- Fax
- (513) 984-2155
Organization contact
- Name
- Randall Stastny
- Title
- owner
- Phone
- (513) 984-2100
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Clinic/Center, Dental providers in Cincinnati, OH. 47 with this primary taxonomy in the public file.
Other NPIs in Cincinnati, OH. 37,940 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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