Hlavacek, Matthew R

Hlavacek, Matthew R is an individual health care provider with primary practice located at 1208 Ne Windsor Dr , Lees Summit MO 64086-5594. He recently has 4 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / General Practice, Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Hlavacek, Matthew R can be contacted via phone (816) 524-4334.

Contact Information

Primary practice address
1208 Ne Windsor Dr Lees Summit MO 64086-5594
Phone: (816) 524-4334
Fax: (816) 524-4399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 016083 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2005027155 Missouri
Dental Providers / Dentist 122300000X 016083 Missouri
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2005027155 Missouri

Profile Details

NPI number 1285613240
LBN Legal business name Hlavacek, Matthew R
Credentials MD, DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 30th, 2012 - about 12 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 1285613240 NPPES
Missouri MEDICAID 204017107
Missouri MEDICAID 404017105

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