NPI 1831496843

Justin Hastings, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Boise, ID

Practice location

Address: 3003 W Main St STE 130, Boise, ID 83702-2026
Phone: (208) 342-7610
Fax: (208) 344-1799

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence D-4845OS (ID)

Other Oral & Maxillofacial Surgery providers in Idaho →

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence M-13732 (ID)

Registry record

NPI: 1831496843
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2011
Record last updated: 16 Apr 2018

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.