HAVEN DENTAL PLLC NPI 1184416828

NPI Information

  • NPI: 1184416828
  • Provider Name: HAVEN DENTAL PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 19535 MACK AVE
    GROSSE POINTE WOODS, MI
    ZIP 48236
  • Phone: (313) 580-3258

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NPI Details

HAVEN DENTAL PLLC is a general practice dentist in Grosse Pointe Woods, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HAVEN DENTAL PLLC NPI is 1184416828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19535 MACK AVE
GROSSE POINTE WOODS, MI
ZIP 48236-836
Phone: (313) 580-3258

The provider's authorized official is Elizabeth Kossak .
The authorized official title is Dentist/practice Owner and has the following contact phone number (313) 580-3258.

The enumeration date for this NPI number is 5/19/2025 and was last updated on 5/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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