Individual provider · Type 1 NPI

Jon Riley Hastings, DDS

General Practice Dentistry · Boise, ID

NPI number 1457369746 Active

Practice location

1529 S Timesquare Ln
Boise, ID 83709-8266

Fax (208) 672-9067

Mailing address

1529 S. Times Square Crt,
Boise, ID 83709

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3254 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1457369746

Jon Riley Hastings, DDS's National Provider Identifier is 1457369746, issued on Aug 3, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jul 9, 2007.