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DAVID C BASTACKY DMD PA
NPI 1245355312
Dentist - Oral and Maxillofacial Surgery in Baltimore, MD

Active since March 20, 2007
516 N ROLLING RD, SUITE 104, BALTIMORE, MD 21228(410) 744-4222(410) 744-2472 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David C Bastacky Dmd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID C BASTACKY DMD PA (NPI 1245355312) is a healthcare organization registered as an oral and maxillofacial surgery in Baltimore, Maryland and active in the NPI registry since March 2007. The organization lists David Bastacky, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1245355312
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDAVID C BASTACKY DMD PA
Location Address516 N ROLLING RD, SUITE 104Baltimore, MD 21228-4140
Mailing Address516 N Rolling Rd, Suite 104Baltimore, MD 21228-4140 · (410) 744-4222 · Fax (410) 744-2472
Phone(410) 744-4222
Fax(410) 744-2472
Organization SubpartNo
Authorized OfficialDavid BastackyDoctor Owner · (410) 744-4222
Enumeration DateMarch 20, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1245355312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MD · 10337
Definition

An oral and maxillofacial surgery dentist specialized in 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.

516 N ROLLING RD, Baltimore, MD 21228
Open in Google Maps ↗

Other Identifiers 12

Other3822MD · Fed Med
Other93918-1MD · Dental Benefit Providers
Other2038621MD · Aetna Medical Hmo
Other42602402MD · Blue Cross
OtherS164MD · Dental Network
Other795229MD · United Concordia
OtherN930 62930MD · Carefirst
Other2715MD · Dha Fortis
Other210589MD · Mdipa
Other4141305MD · Aetna Dental
Medicare UPINT92830MD
Medicare PINK446X946MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRANQUIL MIND L.L.C.
Nurse Practitioner (Psychiatric/Mental Health)
516 N ROLLING RD
CATONSVILLE, MD 21228
Baltimore County (667) 290-5077
CHO C MAUNG MD
Internal Medicine (Hematology & Oncology)
516 N ROLLING RD, STE 301
CATONSVILLE, MD 21228
Baltimore County (410) 788-6603
ALYSSA GREGOR LMSW
Social Worker
516 N ROLLING RD
CATONSVILLE, MD 21228
Baltimore County (410) 572-7981
AADVANCE HOME HEALTH SERVICES, LLC
Nursing Care
516 N ROLLING RD, SUITE# 303
CATONSVILLE, MD 21228
Baltimore County (410) 744-8200
DR. PAUL SANGTAEK YI D.D.S.
Dentist (General Practice)
516 N ROLLING RD, STE 102
BALTIMORE, MD 21228
Baltimore County (410) 744-3446
DR. BAHMAN GUIV DDS
Dentist (General Practice)
516 N ROLLING RD, SUITE 202
CATONSVILLE, MD 21228
Baltimore County (410) 788-8848
DR. DAVID C BASTACKY DMD
Oral & Maxillofacial Surgery
516 N ROLLING RD, SUITE 104
BALTIMORE, MD 21228
Baltimore County (410) 744-4222
CHO C.MAUNG, MD, PA
Internal Medicine (Hematology & Oncology)
516 N ROLLING RD, SUITE 301
CATONSVILLE, MD 21228
Baltimore County (410) 788-6603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David C Bastacky Dmd PA's NPI number?

The NPI number for David C Bastacky Dmd PA is 1245355312. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is David C Bastacky Dmd PA located?

David C Bastacky Dmd PA is located at 516 N Rolling Rd Suite 104, Baltimore, MD 21228. The listed phone number is (410) 744-4222.

What is David C Bastacky Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for David C Bastacky Dmd PA was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.