Provider Demographics
NPI:1437319613
Name:HAAVE, KATE SUZANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:SUZANNE
Last Name:HAAVE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 SAINT ANDREW ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-4526
Mailing Address - Country:US
Mailing Address - Phone:605-343-9352
Mailing Address - Fax:
Practice Address - Street 1:807 SAINT ANDREW ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-4526
Practice Address - Country:US
Practice Address - Phone:605-343-9352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD140122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist