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JOHN P BLAZIC DDS INC
NPI 1407152705
Dentist - Oral and Maxillofacial Surgery in Fairfield, OH

Active since February 03, 2011
1251 NILLES ROAD, SUITE 12, FAIRFIELD, OH 45014(513) 829-4111(513) 829-5140 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John P Blazic Dds Inc NPPES

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

JOHN P BLAZIC DDS INC (NPI 1407152705) is a healthcare organization registered as an oral and maxillofacial surgery in Fairfield, Ohio and active in the NPI registry since February 2011. The organization lists John P Blazic, Owner, as its authorized official.

NPPES Registry Identity

NPI1407152705
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJOHN P BLAZIC DDS INC
Location Address1251 NILLES ROAD, SUITE 12Fairfield, OH 45014-7205
Mailing Address1251 Nilles Road, Suite 12Fairfield, OH 45014-7205 · (513) 829-4111 · Fax (513) 829-5140
Phone(513) 829-4111
Fax(513) 829-5140
Organization SubpartNo
Authorized OfficialJohn P BlazicOwner · (513) 829-4111
Enumeration DateFebruary 3, 2011
✔ NPI 1407152705 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 OH · 30017039
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.
1251 NILLES ROAD, Fairfield, OH 45014
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Other Identifiers 3

Medicaid0496584OH
Medicare PINBL0530763
Medicare UPINT47834

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

GIRISH BABU NAGESETTY MD
Surgery
1251 NILLES ROAD, SUITE17
FAIRFIELD, OH 45014
Butler County (513) 829-7133
MICHELLE A JENKINS LPCC
Counselor (Professional)
1251 NILLES ROAD, SUITE 5
FAIRFIELD, OH 45014
Butler County (513) 939-0300

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 John P Blazic Dds Inc's NPI number?

The NPI number for John P Blazic Dds Inc is 1407152705. It was assigned to this organization in the NPPES registry on February 3, 2011.

Where is John P Blazic Dds Inc located?

John P Blazic Dds Inc is located at 1251 Nilles Road Suite 12, Fairfield, OH 45014. The listed phone number is (513) 829-4111.

What is John P Blazic Dds Inc'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 John P Blazic Dds Inc was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.