Organization · Type 2 NPI

David C Bastacky DMD PA

Oral and Maxillofacial Surgery (Dentist) · Baltimore, MD

NPI number 1245355312 Active

Practice location

516 N Rolling Rd, Suite 104
Baltimore, MD 21228-4140

Fax (410) 744-2472

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X10337 (MD)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1245355312

David C Bastacky DMD PA's National Provider Identifier is 1245355312, issued on Mar 20, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Baltimore, MD. The record was last updated on Apr 20, 2008.