Individual
CAMERON HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7973 W DESTINY BLVD, FORT CAMPBELL, KY 42223-5429
(270) 798-4677
Mailing address
177 KINGSTON CV, CLARKSVILLE, TN 37042-1759
(208) 497-9018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13368319-8903
UT
122300000X
Dentist
Primary
13368319-9923
UT
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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