John Stafford Bastian DDS

NPI 1073679742 - Dentist - 122300000X

NPI Details
NPI 1073679742
Gender Male
Enumeration Date 12/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
734 E MAIN ST
HENDERSONVILLE TN, 37075-2609, US
Phone (615) 824-6804
Fax (615) 264-3607
Business Location
734 E MAIN ST
HENDERSONVILLE TN, 37075-2609, US
Phone (615) 824-6804
Fax (615) 264-3607
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number DS3874
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According to our database, Dr. John Stafford Bastian DDS NPI is 1073679742, taxonomy code is 122300000X and license number is DS3874, license state is located at Tennessee. John Stafford Bastian DDS physically located at 734 E Main St, Hendersonville TN, 37075-2609. NPI Number John Stafford Bastian DDS has the Individual type.

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1073679742 NPI number is provided on an as is basis without warranty of any kind. 1073679742 is maintained by the National Plan & Provider Enumeration System. The contents of John Stafford Bastian DDS are for informational purposes only.