SearchIllinoisOral and Maxillofacial Surgery (Dentist)

Anastasia Haupt, D.D.S

NPI 1790042323 · on the registry since 2012

Practice

Address
807 Davis St Unit 2011
Evanston, IL 60201
Phone
(208) 251-6098
Organisation at this address
Randy L. Kettering Phd, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 801 S Paulina St Rm 110, Chicago, IL

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois