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BLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC
NPI 1588759609
Clinic/Center - Dental in Cincinnati, OH

Active since October 04, 2006
4350 MALSBARY RD, SUITE 201, CINCINNATI, OH 45242(513) 984-2100(513) 984-2155 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blue Ash Oral And Maxillofacial Surgery, Inc NPPES

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

BLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC (NPI 1588759609) is a healthcare organization registered as a dental in Cincinnati, Ohio and active in the NPI registry since October 2006. The organization lists Randall David Stastny, Owner, as its authorized official.

NPPES Registry Identity

NPI1588759609
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBLUE ASH ORAL AND MAXILLOFACIAL SURGERY, INC
Location Address4350 MALSBARY RD, SUITE 201Cincinnati, OH 45242-5621
Mailing Address4350 Malsbary Rd, Suite 201Cincinnati, OH 45242-5621 · (513) 984-2100 · Fax (513) 984-2155
Phone(513) 984-2100
Fax(513) 984-2155
Organization SubpartNo
Authorized OfficialRandall David StastnyOwner · (513) 984-2100
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 4, 2008
✔ NPI 1588759609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in OH · 30-1-8892
4350 MALSBARY RD, Cincinnati, OH 45242
Open in Google Maps ↗

Other Identifiers 2

Medicare PINBL9363971OH
Medicare UPINU33772OH

Other Providers at the Same Location NPPES 14

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

MRS. SAMANTHA BRAUN APRN
Nurse Practitioner (Family)
4350 MALSBARY RD
BLUE ASH, OH 45242
Hamilton County (513) 751-2273
ONCOLOGY HEMATOLOGY CARE, INC.
Internal Medicine (Medical Oncology)
4350 MALSBARY RD
CINCINNATI, OH 45242
Hamilton County (513) 751-2273
DR. PATRICK J WARD MD
Internal Medicine (Hematology & Oncology)
4350 MALSBARY RD
CINCINNATI, OH 45242
Hamilton County (513) 751-2273
ONCOLOGY HEMATOLOGY CARE, INC
Pharmacy (Home Infusion Therapy Pharmacy)
4350 MALSBARY RD, SUITE 205
CINCINNATI, OH 45242
Hamilton County (513) 751-2273
ANDREW S GUINIGUNDO CNP
Nurse Practitioner (Adult Health)
4350 MALSBARY RD
CINCINNATI, OH 45242
Hamilton County (513) 751-2273
DOUG HART RN
Registered Nurse
4350 MALSBARY RD
BLUE ASH, OH 45242
Hamilton County (513) 751-2273
AMY PIERCE RN
Registered Nurse
4350 MALSBARY RD
BLUE ASH, OH 45242
Hamilton County (513) 751-2273
ROMA SRIVASTAVA M.D.
Internal Medicine (Hematology & Oncology)
4350 MALSBARY RD
BLUE ASH, OH 45242
Hamilton County (513) 751-2273

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 Blue Ash Oral And Maxillofacial Surgery, Inc's NPI number?

The NPI number for Blue Ash Oral And Maxillofacial Surgery, Inc is 1588759609. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Blue Ash Oral And Maxillofacial Surgery, Inc located?

Blue Ash Oral And Maxillofacial Surgery, Inc is located at 4350 Malsbary Rd Suite 201, Cincinnati, OH 45242. The listed phone number is (513) 984-2100.

What is Blue Ash Oral And Maxillofacial Surgery, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Blue Ash Oral And Maxillofacial Surgery, Inc was last updated on March 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.