Individual
DR. JOHN CLAY HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
USA DENTAL ACTIVITY - FORT MOORE, 7061 LINCOLN AVENUE, BUILDING 972, FORT MOORE, GA 31905
(706) 544-3103
Mailing address
USA DENTAL ACTIVITY MCDS NA B, 2817 REILLY RD, FORT BRAGG, NC 28310-7302
(910) 543-2196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
APPLIED FOR
NC
1223G0001X
General Practice Dentistry
Primary
9885
NC
Other
Enumeration date
09/09/2014
Last updated
07/19/2023
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