Individual
DR. JOHN STAFFORD BASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
734 E MAIN ST, HENDERSONVILLE, TN 37075-2609
(615) 824-6804
(615) 264-3607
Mailing address
734 E MAIN ST, HENDERSONVILLE, TN 37075-2609
(615) 824-6804
(615) 264-3607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3874
TN
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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