Provider Demographics
NPI:1447493655
Name:HASTING, KENNETH L (DDS)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:L
Last Name:HASTING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8160 SPRINGHILL COMMUNITY RD
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-8422
Mailing Address - Country:US
Mailing Address - Phone:406-556-1100
Mailing Address - Fax:406-586-3543
Practice Address - Street 1:8160 SPRINGHILL COMMUNITY RD
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-8422
Practice Address - Country:US
Practice Address - Phone:406-556-1100
Practice Address - Fax:406-586-3543
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1448122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist