Aaron Michael Havens, D.M.D., M.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Washington, MI
NPI 1003255167 · NPPES record last updated Jun 21, 2013
Key facts
- NPI
- 1003255167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 2901020266 (MI)
- Practice address
- 64845 Van Dyke Rd
Washington, MI 48095-2836 - Phone
- (586) 752-3504
- NPI assigned
- Jun 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020266 | MI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901020266 | MI | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901020266 | MI | Yes |
Addresses
Primary practice location
64845 Van Dyke Rd
Washington, MI 48095-2836
Mailing address
64845 Van Dyke Rd
Washington, MI 48095-2836
Phone (586) 752-3504
Other providers in Washington, MI
- Gregory E. Gould DO PC
- Juli Ann Grover
- Patricia M Hall
- Deanna Lynn Handorf
- Havens Orthodontics, PLLC
- David C Havens
- Colleen Henderson
- Stephen Robert Henry
- Duane Horecki
- Gary Edward Hosey
All providers in Washington, MI · Orthodontics and Dentofacial Orthopedics Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.