| Haven Dental Of Southlake, Pllc | |
|
1845 E Southlake Blvd # 144 Southlake TX 76092-6501 | |
| (817) 554-1122 | |
| Not Available |
| Full Name | Haven Dental Of Southlake, Pllc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1845 E Southlake Blvd # 144, Southlake, Texas |
| Authorized Official Name and Position | Creed Cardon (PRESIDENT/DENTIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Dental Of Southlake, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Haven Dental Of Southlake, Pllc 1845 E Southlake Blvd # 144 Southlake TX 76092-6501 Ph: (817) 554-1122 |
| NPI Number | 1851274435 |
|---|---|
| Provider Enumeration Date | 07/30/2025 |
| Last Update Date | 07/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851274435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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