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NPI Code Detail

MEDICARE: DR. ALAN CURTIS HAVENS D.D.S.

MEDICARE: DR. ALAN CURTIS HAVENS D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2901010432MI

General Provider Information

NPI Number : 1255473807
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN CURTIS HAVENS D.D.S.
Provider Business Mailing Address
First Line : 1212 W OAK ST
Second Line :
City : GREENVILLE
State : MI
Zip : 48838-2155
Country : US
Telephone Number : 616-754-3467
Fax Number : 616-754-9020
Provider Business Practice Location Address
First Line : 1212 W OAK ST
Second Line :
City : GREENVILLE
State : MI
Zip : 48838-2155
Country : US
Telephone Number : 616-754-3467
Fax Number : 616-754-9020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 02/01/2026

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