JOHN P BLAZIC DDS INC (NPI# 1407152705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407152705 |
| Entity Type | Organization |
| Organization Name | JOHN P BLAZIC DDS INC |
| Practice Address |
1251 Nilles Road Suite 12 Fairfield OH 45014-7205 |
| Practice Telephone | 5138294111 |
| Practice Fax Number | 5138295140 |
| Mailing Telephone | 5138294111 |
| Mailing Fax Number | 5138295140 |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |
| Authorized Official Name | DR. JOHN P BLAZIC (OWNER) |
| Authorized Official Telephone | 5138294111 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30017039 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0496584 | 05 |
| Street Address |
1251 NILLES ROAD SUITE 12 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073506606 | Girish Babu Nagesetty | Surgery | 1251 Nilles Road, Suite17, Fairfield, OH 45014-7205 | 2005-08-30 |
| 1306126602 | Michelle A Jenkins | Counselor | 1251 Nilles Road, Suite 5, Fairfield, OH 45014-7205 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255359469 | David Evans Webb | Dentist | 1590 Webster St Ste F, Fairfield, CA 94533-4932 | 2006-07-17 |
| 1942638374 | Dr Meenal Kulkarni P.c | Dentist | 71 Tunxis Hill Rd, Fairfield, CT 06825-4830 | 2013-10-22 |
| 1437312881 | Jean-luc Gaston Niel | Dentist | 101 Bodin Cir, Travis Afb, Fairfield, CA 94535-1809 | 2008-07-07 |
| 1366653024 | Christopher A Mcdaniel | Dentist | 5188 Winton Rd, Fairfield, OH 45014-2900 | 2007-05-24 |
| 1215141957 | David Weaver | Dentist | 5188 Winton Rd, Fairfield, OH 45014-2900 | 2007-05-10 |
| 1063638971 | Timothy Wayne Conley | Dentist | 5188 Winton Rd, Fairfield, OH 45014-2900 | 2007-04-18 |
| 1063558054 | John R Saunderson | Dentist | 2801 Waterman Blvd, 240, Fairfield, CA 94534-2987 | 2007-01-29 |
| 1952339707 | John Philip Blazic | Dentist | 1251 Nilles Rd, Suite 12, Fairfield, OH 45014-7205 | 2006-06-29 |
| 1972559391 | Todd Evan Bloom | Dentist | 1305 Post Rd, Suite 303, Fairfield, CT 06824-6016 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740846559 | Daniel Schwartz, Dmd, Md, LLC | Dentist | 23250 Chagrin Blvd Ste 205, Beachwood, OH 44122-5416 | 2019-05-16 |
| 1649834144 | William W. Francis Dds, LLC | Dentist | 27500 Detroit Rd Ste 104, Suite 104, Westlake, OH 44145-5913 | 2019-04-30 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1285041186 | Ahmad Ali Millwala Dmd Oral and Maxillofacial Surgery Co | Dentist | 2846 Double Eagle Dr, Beavercreek, OH 45431-4709 | 2014-07-14 |
| 1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
| 1346685195 | Matthew Thomas Marshall | Dentist | 3075 Smith Rd Ste 102, Fairlawn, OH 44333-4453 | 2013-05-07 |
| 1629329198 | Amherst Oral Surgery and Implant Center LLC | Dentist | 550 N Leavitt Rd, Amherst, OH 44001-1131 | 2012-09-25 |
| 1568710655 | Manraj S. Bath, Dds, Inc. | Dentist | 1575 Cross Creeks Blvd., Pickerington, OH 43147 | 2012-08-21 |
| 1467707018 | Matthew Aaron Popper | Dentist | 5825 Landerbrook Dr Ste 125, Cleveland, OH 44124 | 2012-07-19 |
| 1548534415 | Bushey Oral and Maxillofacial Surgery, Inc. | Dentist | 7081 West Blvd., Suite 1, Youngstown, OH 44512 | 2012-02-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.