Provider Demographics
NPI:1851959241
Name:HAVILAND, CATHERINE (DDS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:HAVILAND
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 1:1233 JOYCE LN
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-8870
Mailing Address - Country:US
Mailing Address - Phone:919-923-7240
Mailing Address - Fax:
Practice Address - Street 1:1011 N UNIVERSITY AVE SPC 1078
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-1078
Practice Address - Country:US
Practice Address - Phone:919-923-7240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-31
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315206395122300000X
MI2901600828122300000X
MI2952000583122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist