Dr. Randall David Stastny
DMD | Oral and Maxillofacial Surgeon
4350 Malsbary Rd, Suite 201, Blue Ash
Ohio, 45242-5665
513-984-2100 513-984-2155
Maps & DirectionsDr. Randall David Stastny is a Blue Ash, Ohio based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Randall David Stastny is
30-1-8892 for Oral and Maxillofacial Surgery in Ohio. His current practice location is
4350 Malsbary Rd, Suite 201, Blue Ash. Patients can reach him at
513-984-2100.
Dr. Randall David Stastny deals with 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.
Complete Profile:
Dr. Randall David Stastny speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Randall David Stastny |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4350 Malsbary Rd, Suite 201, Blue Ash,
Ohio, 45242-5665 |
| Phone: | 513-984-2100 |
| Fax: | 513-984-2155 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1699772509 |
| NPI Enumeration Date: | 07 Jul, 2005 |
| NPI Last Update On: | 16 Mar, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Randall David Stastny are as mentioned below.
| License Number | Specialization | State | Status | |
| 30-1-8892 | Oral and Maxillofacial Surgery | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Randall David Stastny such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 11892 | Other | Ohio | HUMANA |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4350 Malsbary Rd, Suite 201
Blue Ash, Ohio |
| Zip: | 45242-5665 |
| Phone Number: | 513-984-2100 |
| Fax Number: | 513-984-2155 |
Patients can reach Dr. Randall David Stastny at
4350 Malsbary Rd, Suite 201, Blue Ash, Ohio or can
call to book an appointment on 513-984-2100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.