JOHN P BLAZIC DDS INC NPI 1407152705

NPI Information

JOHN P BLAZIC DDS INC is an oral and maxillofacial surgery dentist in Fairfield, OH. The provider is an oral and maxillofacial surgery dentist specialized in 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. JOHN P BLAZIC DDS INC NPI is 1407152705. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1251 NILLES ROAD
SUITE 12
FAIRFIELD, OH
ZIP 45014-205
Phone: (513) 829-4111
Fax: (513) 829-5140

The provider's authorized official is John P Blazic .
The authorized official title is Owner and has the following contact phone number (513) 829-4111.

The enumeration date for this NPI number is 2/3/2011 and was last updated on 2/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.