The Haven Family and Cosmetic Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE HAVEN FAMILY AND COSMETIC DENTISTRY LLC

Practice address

983 Waugh Chapel Way Ste E
Gambrills, MD 21054-1261

Phone

(410) 881-7447

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nitchel Bastien, DMDNPI 1013337625

Title

Dentist/Owner

Phone

(410) 881-7447

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nitchel Bastien

  • Dentist
  • Gambrills, MD
  • NPI 1013337625
  NPD Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1346093457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 WAUGH CHAPEL WAY STE E",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541261",
            "telephone_number": "410-881-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 WAUGH CHAPEL WAY STE E",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541261",
            "telephone_number": "410-881-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN FAMILY AND COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "BASTIEN",
        "authorized_official_first_name": "NITCHEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "410-881-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.