Provider Demographics
NPI:1760627756
Name:HAVENS & HAVENS DDS, PLLC
Entity Type:Organization
Organization Name:HAVENS & HAVENS DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:LAUER
Authorized Official - Last Name:HAVENS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-285-6268
Mailing Address - Street 1:151 BUFFALO AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14303-1243
Mailing Address - Country:US
Mailing Address - Phone:716-285-6268
Mailing Address - Fax:716-285-0066
Practice Address - Street 1:151 BUFFALO AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14303-1243
Practice Address - Country:US
Practice Address - Phone:716-285-6268
Practice Address - Fax:716-285-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048180122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty