Individual provider · Type 1 NPI

Anastasia Marie Haupt, DDS

Oral and Maxillofacial Surgery (Dentist) · Evanston, IL

NPI number 1790042323 Active

Practice location

807 Davis St Unit 2011
Evanston, IL 60201-7104

Other practice locations

  • 801 S Paulina St Rm 110, Chicago, IL 60612-7210 · (312) 996-7460

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X019029070 (IL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1790042323

Anastasia Marie Haupt, DDS's National Provider Identifier is 1790042323, issued on Apr 20, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Evanston, IL. The record was last updated on Jul 21, 2022.