NPI 1164429387

David C Bastacky, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Baltimore, MD

Practice location

Address: 516 N Rolling Rd Suite 104, Baltimore, MD 21228-4140
Phone: (410) 744-4222
Fax: (410) 744-2472

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 10337 (MD)

Other Oral & Maxillofacial Surgery providers in Maryland →

Registry record

NPI: 1164429387
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2005
Record last updated: 2 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.