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John P Blazic Dds Inc
Oral and Maxillofacial Surgery (Dentist) in Fairfield, Ohio
NPI 1407152705

John P Blazic Dds Inc is a Oral and Maxillofacial Surgery (Dentist) based in Fairfield, OH and is specialized in Oral and Maxillofacial Surgery. John P Blazic Dds Inc practices in Fairfield, OH. The NPI Number for John P Blazic Dds Inc is 1407152705 and holds a License No. 30017039 (Ohio).

The current practice location address for John P Blazic Dds Inc is 1251 Nilles Road, Fairfield, OH and can be reached out via phone at 513-829-4111 and via fax at 513-829-5140.

Location: 1251 Nilles Road, Fairfield, OH, 45014-7205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407152705
Provider Name
John P Blazic Dds Inc
Credential
Provider Entity Type
Organization
Address
1251 Nilles Road, Fairfield, OH, 45014-7205
Phone Number
513-829-4111
Fax Number
513-829-5140
Provider Enumeration Date
02/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0496584 05 OH
institution
Provider Business Practice Location Address Details
Address
1251 Nilles Road
City
Fairfield
State
Ohio
Zip
45014-7205
Phone Number
513-829-4111
Fax Number
513-829-5140
person
Provider Business Mailing Address Details
Address
1251 Nilles Road
City
Fairfield
State
Ohio
Zip
45014-7205
Phone Number
513-829-4111
Fax Number
513-829-5140
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
30017039 (Ohio)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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