DR. John Stafford Bastian, DDS

NPI #1073679742 in Hendersonville, Tennessee

Provider Information

NPI Number: 1073679742
Entity Type: Individual
Name: DR. John Stafford Bastian, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 734 E MAIN ST
City: Hendersonville
State: Tennessee
ZIP Code: 37075-2609
Phone: (615) 824-6804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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