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Search › Missouri › 363AM0700X

Matt Havens, MSW LCSW, MS PA-C

NPI 1992912216 · on the registry since 2007

Practice

Address
1300 N Oakland Ave
Suite A
Bolivar, MO 65613
Phone
(417) 326-7676
Fax
(417) 326-3939
Organisation at this address
Jump Dental, Llc
Parkview Surgeons, Pc
Citizens Memorial Healthcare
Dr. Donald R. Jump Dds Inc Pc
Bolivar Smiles Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
1041C0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-27

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 Missouri