Havens, Todd Lauer

Havens, Todd Lauer 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, Todd Lauer can be contacted via phone (716) 285-6268.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048180 New York

Profile Details

NPI number 1568519874
LBN Legal business name Havens, Todd Lauer
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 1568519874 NPPES
New York Other 000527173001 BLUE CROSS ID #
New York MEDICAID 02272842 BLUE CROSS ID #

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