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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285613240 | NPPES |
| Missouri | MEDICAID | 204017107 | |
| Missouri | MEDICAID | 404017105 |
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