IndividualActive
Jennifer Mcguire Haveman, DMD
NPI 1861684698 · Periodontics · Quantico, VA
Provider details
- NPI number
- 1861684698
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 21875 (MA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
Naval Health Clinic Quantico
3259 Catlin Ave
Quantico, VA 22134
Phone: (703) 784-2802
Approximate (ZIP-level) locationGet directions
Mailing address
Naval Health Clinic Quantico
Quantico, VA 22134
Additional practice locations (1)
- 1647 Admiral Taussig BlvdNorfolk, VA 23511-2803Phone: (757) 953-8547
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2024-07-03
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.