Brian L Hastings, DDS

NPI #1790875805 in Shelbyville, Illinois

Provider Information

NPI Number: 1790875805
Entity Type: Individual
Name: Brian L Hastings, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 S VINE
Address 2: SUITE 2
City: Shelbyville
State: Illinois
ZIP Code: 62565
Phone: (217) 774-2822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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