Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Ash Oral and Maxillofacial Surgery, Inc

Organization Dental Clinic/Center · NPI 1588759609

Blue Ash Oral and Maxillofacial Surgery, Inc is a Dental Clinic/Center in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4350 Malsbary Rd Ste 201
Cincinnati, OH 45242-5621
Phone: (513) 984-2100
Fax: (513) 984-2155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 30-1-8892 (OH)

Record details

NPI number1588759609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Stastny — Owner · (513) 984-2100
NPI enumeratedOctober 4, 2006
Last updated in NPPESMarch 4, 2008
Mailing address4350 Malsbary Rd, Suite 201, Cincinnati, OH 45242-5621

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