Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW R HLAVACEK, MD, DDS
ActiveMR. MATTHEW R HLAVACEK, MD, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in LEES SUMMIT, Missouri. NPI 1285613240 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · LEES SUMMIT, MO
Registration Details
- NPI Number
- 1285613240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2006 (20.624355674076 yrs)
- Last Updated
- Jul 30, 2012
- Licenses
-
016083 (MO)2005027155 (MO)016083 (MO)2005027155 (MO)
Practice Information
- Address
-
1208 NE WINDSOR DRLEES SUMMIT, MO, 640865594Browse MO providers · Browse ZIP 64086
- Phone
- 8165244334
- Fax
- 8165244399
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- General Practice
- Additional Specialty
- Dentist
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.