Provider Demographics
NPI:1982983904
Name:HASTINGS, NATALIE BUU (DMD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:BUU
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:CONG HUYEN
Other - Last Name:BUU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:707 PARNASSUS AVE
Mailing Address - Street 2:SAN FRANCISCO
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0760
Mailing Address - Country:US
Mailing Address - Phone:415-476-3028
Mailing Address - Fax:415-502-8399
Practice Address - Street 1:707 PARNASSUS AVE
Practice Address - Street 2:SAN FRANCISCO
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0760
Practice Address - Country:US
Practice Address - Phone:415-476-3028
Practice Address - Fax:415-502-8399
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA593541223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics