MR. MATTHEW R HLAVACEK


Address: 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594
Phone: 8165244334

MR. MATTHEW R HLAVACEK (NPI# 1285613240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285613240
Entity Type Individual
Full Name MR. MATTHEW R HLAVACEK
Credential MD, DDS
Practice Address 1208 Ne Windsor Dr
Lees Summit
MO 64086-5594
Practice Telephone 8165244334
Practice Fax Number 8165244399
Mailing Telephone 8165244334
Mailing Fax Number 8165244399
Enumeration Date 2006-01-10
Last Update Date 2012-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 016083 MO Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
016083 MO Dental Providers
Y 204E00000X Oral & Maxillofacial Surgery 2005027155 MO Allopathic & Osteopathic Physicians
N 208D00000X General Practice 2005027155 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 404017105 05
MO 204017107 05

Office Location

Street Address 1208 NE WINDSOR DR
City LEES SUMMIT
State MO
Zip Code 64086-5594

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699861906 Facial Spectrum Inc Dentist 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594 2006-10-05
1588626659 Steven J Prstojevich Dentist 1208 Ne Windsor Dr, Lees Summit, MO 64086-5594 2006-04-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740821057 David L Harrison Pharmacist 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 2019-10-08
1770069403 Foster Family Pharmacy Pharmacy 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 2018-07-16
1255716221 Summit Eye Center, LLC Ophthalmology 1621 Nw Blue Parkway, Lees Summit, MO 64086 2015-07-20
1679954085 Day By Day Staff Relief, LLC Hospice Care, Community Based 943 Ne Columbus Street, Lees Summit, MO 64086 2015-06-11
1831505544 Johnathan Almeida Emergency Medicine 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 2014-07-02
1215358429 Alex Sharifian Dds Summit Modern Dentistry PC Dentist 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 2013-12-16
1477807303 Lauren M Lee Nurse Practitioner 1425 Nw Blue Parkway, Lee's Summit, MO 64086 2012-10-30
1396016507 Retha Rene Rudloff General Practice 1728 N.e. Misty Lane, Lee's Summit, MO 64086 2012-01-19
1629351200 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 691 Nw Blue Pkwy, Lees Summit, MO 64086 2011-09-21
1497054308 Jennifer Nelson Physical Therapist 301 Ne Tudor, Lee's Summit, MO 64086 2011-03-17
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609162189 Rebecca Lindsay Grammer Oral & Maxillofacial Surgery 1034 S. Brentwood, Suite 1010, St. Louis, MO 63117-1210 2011-06-23
1659538973 Michael J Pernoud Dds PC Oral & Maxillofacial Surgery 1015 Washington Sq Ste F, Washington, MO 63090-5307 2008-05-22
1912173592 John O'connor Heiman Oral & Maxillofacial Surgery 4545 Wornall Rd, # 608, Kansas City, MO 64111-3270 2008-05-05
1730222647 Matthew W Sheffer Oral & Maxillofacial Surgery 5227 S Main St Ste B, Joplin, MO 64804-4938 2007-02-14
1558415075 Roberet L Ward Oral & Maxillofacial Surgery 1325 N Mt Auburn Rd, Cape Giraedeau, MO 63701 2007-01-22
1790849834 Edward Steven Czebrinski Oral & Maxillofacial Surgery 77 Westport Plaza Medical Center, Suite 356, Saint Louis, MO 63146 2006-12-21
1063593838 Eugenio G Herbosa Oral & Maxillofacial Surgery 12818 Tesson Ferry Road, Suite 204, St Louis, MO 63128 2006-10-18
1912019290 David M Ivey Dds PC Oral & Maxillofacial Surgery One Mid Rivers Mall Dr, Ste 310, St Peters, MO 63376-4323 2006-08-31
1285017806 Marion Harris Oral & Maxillofacial Surgery 2301 Holmes St, Kansas City, MO 64108-2640 2015-06-30
1851618847 Aosdi, Glenn J Makowski, Dmd, Md, PC Oral & Maxillofacial Surgery 2602 Cunningham Ave, Joplin, MO 64804-1542 2010-04-29
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Competitor

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City LEES SUMMIT
Zip Code 64086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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