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Dr. Randall David Stastny, DMD
Oral and Maxillofacial Surgery (Dentist) in Blue Ash, Ohio
NPI 1699772509

Randall David Stastny is a Oral and Maxillofacial Surgery (Dentist) based in Blue Ash, OH and is specialized in Oral and Maxillofacial Surgery. Randall David Stastny practices in Blue Ash, OH and has the professional credentials of DMD. The NPI Number for Randall David Stastny is 1699772509 and holds a License No. 30-1-8892 (Ohio).

The current practice location address for Randall David Stastny is 4350 Malsbary Rd, Blue Ash, OH and can be reached out via phone at 513-984-2100 and via fax at 513-984-2155.

Location: 4350 Malsbary Rd, Blue Ash, OH, 45242-5665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699772509
Provider Name
Randall David Stastny
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4350 Malsbary Rd, Blue Ash, OH, 45242-5665
Phone Number
513-984-2100
Fax Number
513-984-2155
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11892 01 OH HUMANA
institution
Provider Business Practice Location Address Details
Address
4350 Malsbary Rd
City
Blue Ash
State
Ohio
Zip
45242-5665
Phone Number
513-984-2100
Fax Number
513-984-2155
person
Provider Business Mailing Address Details
Address
4350 Malsbary Rd
City
Blue Ash
State
Ohio
Zip
45242-5665
Phone Number
513-984-2100
Fax Number
513-984-2155
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
30-1-8892 (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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