Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.