NPI 1750510988

Jordan Samuel Dehaven, DPM

Practitioner Foot & Ankle Surgery Podiatrist Bristol, RI

Practice location

Address: 1180 Hope St, Bristol, RI 02809-1126
Phone: (401) 253-8900
Fax: (401) 253-3131

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DPM00328 (RI)

Other Podiatrist providers in Rhode Island →

Registry record

NPI: 1750510988
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2009
Record last updated: 23 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.