Havens, John Andrew

Havens, John Andrew is an individual health care provider with primary practice located at 151 Buffalo Ave Suite 208, Niagara Falls NY 14303-1243. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Havens, John Andrew can be contacted via phone (716) 285-6268.

Contact Information

Primary practice address
151 Buffalo Ave Suite 208 Niagara Falls NY 14303-1243
Phone: (716) 285-6268
Fax: (716) 285-0066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 047932 New York

Profile Details

NPI number 1710035043
LBN Legal business name Havens, John Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710035043 NPPES
New York MEDICAID 02360474
New York Other 0000726469002

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