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Search › Idaho › Oral & Maxillofacial Surgery (D.M.D.)

Justin Hastings, DDS, MD

NPI 1831496843 · on the registry since 2011

Practice

Address
3003 W Main St Ste 130
Boise, ID 83702
Phone
(208) 342-7610
Fax
(208) 344-1799
Organisation at this address
Whitewater Oral Surgery Group Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Oral & Maxillofacial Surgery (D.M.D.)
204E00000X
Also registered as
Oral & Maxillofacial Surgery (D.M.D.)
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-16

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