Provider Demographics
NPI:1356754477
Name:HASTINGS, ROBERT BARKSDALE (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BARKSDALE
Last Name:HASTINGS
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 1:27949 JUBAN RD
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-7915
Mailing Address - Country:US
Mailing Address - Phone:225-243-7704
Mailing Address - Fax:
Practice Address - Street 1:27949 JUBAN RD
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-7915
Practice Address - Country:US
Practice Address - Phone:225-243-7704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6492122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist