| David C Bastacky Dmd Pa | |
|
516 N Rolling Rd Suite 104 Baltimore MD 21228-4140 | |
| (410) 744-4222 | |
| (410) 744-2472 |
| Full Name | David C Bastacky Dmd Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 516 N Rolling Rd, Baltimore, Maryland |
| Authorized Official Name and Position | David Bastacky (DOCTOR OWNER) |
| Authorized Official Contact | 4107444222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David C Bastacky Dmd Pa 516 N Rolling Rd Suite 104 Baltimore MD 21228-4140 Ph: (410) 744-4222 | David C Bastacky Dmd Pa 516 N Rolling Rd Suite 104 Baltimore MD 21228-4140 Ph: (410) 744-4222 |
| NPI Number | 1245355312 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245355312 | NPI | - | NPPES |
| N930 62930 | Other | MD | CAREFIRST |
| S164 | Other | MD | DENTAL NETWORK |
| 795229 | Other | MD | UNITED CONCORDIA |
| 2038621 | Other | MD | AETNA MEDICAL HMO |
| 42602402 | Other | MD | BLUE CROSS |
| 210589 | Other | MD | MDIPA |
| 3822 | Other | MD | FED MED |
| 168250000 | Other | MD | PHN |
| 4141305 | Other | MD | AETNA DENTAL |
| 2715 | Other | MD | DHA FORTIS |
| 93918-1 | Other | MD | DENTAL BENEFIT PROVIDERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10337 (Maryland) | Primary |
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