Haven Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAVEN DENTAL PLLC

Practice address

19535 Mack Ave
Grosse Pointe Woods, MI 48236-2836

Phone

(313) 580-3258

NPI assigned

May 19, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Kossak, DDSNPI 1851739262

Title

Dentist/Practice Owner

Phone

(313) 580-3258

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Ann Kossak, D.D.S.

  • Dentist
  • Plantation, FL
  • NPI 1851739262
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1184416828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 CLOVERLY RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363303",
            "telephone_number": "313-580-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19535 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362836",
            "telephone_number": "313-580-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "KOSSAK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST/PRACTICE OWNER",
        "authorized_official_telephone_number": "313-580-3258",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Louise Harris
• Catherine Hartz
• Dawn Yuen Harvey, DDS, MS
• Jada Hatcher
• Rebecca Haubert, M.A.
• Stephanie Hayes
• Shawnea Headen
• Heartland - Georgian East of Grosse Point Mi, LLC
• Wannakee Kafa Hedwood
• Icsis Uniique Hegler

• General Practice Dentistry in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.