David C Bastacky Dmd Pa in Baltimore - Oral And Maxillofacial Surgery
David C Bastacky Dmd Pa - NPI 1245355312
David C Bastacky Dmd Pa is a Oral And Maxillofacial Surgery in Baltimore, Maryland. David C Bastacky Dmd Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for David C Bastacky Dmd Pa is 1245355312. The last update date is 2008-04-20.
David C Bastacky Dmd Pa's current location address is 516 N Rolling Rd, Baltimore, Maryland. You can contact this provider via phone number 4107444222 and fax number 4107442472. The mailing address for David C Bastacky Dmd Pa is 516 N Rolling Rd, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David C Bastacky Dmd Pa |
|---|---|
| Address | 516 N Rolling Rd, Baltimore, Maryland |
| Phone Number | 4107444222 |
| Fax Number | 4107442472 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR OWN |
|---|---|
| Authorized Official Name | Bastacky David |
| Credentials | DMD PA |
| Telephone Number | 4107444222 |
NPI Number Detail
| NPI Number | 1245355312 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 516 N Rolling Rd |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212284140 |
| Phone Number | 4107444222 |
| Fax Number | 4107442472 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 10337 |
|
Definition: The specialty of dentistry which includes 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| N930 62930 | MD | CAREFIRST | |
| S164 | MD | DENTAL NETWORK | |
| 795229 | MD | UNITED CONCORDIA | |
| 2038621 | MD | AETNA MEDICAL HMO | |
| 42602402 | MD | BLUE CROSS | |
| 210589 | MD | MDIPA | |
| 3822 | MD | FED MED | |
| 168250000 | MD | PHN | |
| 4141305 | MD | AETNA DENTAL | |
| 2715 | MD | DHA FORTIS |
Post Comment/ Review Below
What is the unique identifier code issued to David C Bastacky Dmd Pa by the Centers for Medicare & Medicaid Services (CMS)?
The David C Bastacky Dmd Pa has been assigned the NPI (National Provider Identifier) 1245355312. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where David C Bastacky Dmd Pa is physically located?
The David C Bastacky Dmd Pa is physically situated at the following address: 516 N Rolling Rd, Baltimore, MD, 212284140.
What is David C Bastacky Dmd Pa's area of expertise and its corresponding taxonomy classification?
The David C Bastacky Dmd Pa's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the David C Bastacky Dmd Pa receive the assignment of its 1245355312 from the Centers for Medicare & Medicaid Services?
The David C Bastacky Dmd Pa was issued its 1245355312 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information regarding David C Bastacky Dmd Pa most recently updated?
The details pertaining to the David C Bastacky Dmd Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-04-20.
NPI Number: 1558367185
Address: 245 W Race St, Somerset, PA
NPI Number: 1588663769
Address: 400 W Mineral King Ave, Visalia, CA