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WINTER HAVEN MODERN DENTISTRY, PA
NPI 1629615497
Dentist in Winter Haven, FL

Active since November 29, 2019
565 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33880(863) 656-4777 Get Directions Write a Review

NPPES record last updated: November 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Winter Haven Modern Dentistry, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINTER HAVEN MODERN DENTISTRY, PA (NPI 1629615497), doing business as Winter Haven Modern Dentistry, is a healthcare organization registered as a dentist in Winter Haven, Florida and active in the NPI registry since November 2019. The organization lists Katie L Mccann Lee, Owner/gp, as its authorized official.

NPPES Registry Identity

NPI1629615497
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWINTER HAVEN MODERN DENTISTRY, PA
Location Address565 CYPRESS GARDENS BLVDWinter Haven, FL 33880-4406
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626
Phone(863) 656-4777
Organization SubpartNo
Authorized OfficialKatie L Mccann LeeOwner/gp · (863) 656-4777
Enumeration DateNovember 29, 2019
✔ NPI 1629615497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
565 CYPRESS GARDENS BLVD, Winter Haven, FL 33880
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Other Names 1

Doing Business AsWinter Haven Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER LAZARO HERNANDEZ DMD
Dentist
565 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 33880
Polk County (863) 656-4777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Winter Haven Modern Dentistry, PA's NPI number?

The NPI number for Winter Haven Modern Dentistry, PA is 1629615497. It was assigned to this organization in the NPPES registry on November 29, 2019. The provider is doing business as Winter Haven Modern Dentistry.

Where is Winter Haven Modern Dentistry, PA located?

Winter Haven Modern Dentistry, PA is located at 565 Cypress Gardens Blvd, Winter Haven, FL 33880. The listed phone number is (863) 656-4777.

What is Winter Haven Modern Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Winter Haven Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Winter Haven Modern Dentistry, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Winter Haven Modern Dentistry, PA was last updated on November 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.