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Jon Hastings, DDS
NPI 1457369746 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1529 S Timesquare Ln
Boise, ID 83709 - Phone
- (208) 343-1981
- Fax
- (208) 672-9067
- Organisation at this address
- Times Square Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho