HAVEN DENTAL OF SOUTHLAKE, PLLC
NPI 1851274435
Dentist - Dental Public Health in Southlake, TX

Q: What is Haven Dental Of Southlake, PLLC's NPI number?

The NPI number for Haven Dental Of Southlake, PLLC is 1851274435. It was assigned to this organization in the NPPES registry on July 30, 2025.

Q: What is Haven Dental Of Southlake, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Active since July 30, 2025

1845 E SOUTHLAKE BLVD # 144, SOUTHLAKE, TX 76092(817) 554-1122 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Haven Dental Of Southlake, Pllc NPPES

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

HAVEN DENTAL OF SOUTHLAKE, PLLC (NPI 1851274435) is a healthcare organization registered as a dental public health in Southlake, Texas and active in the NPI registry since July 2025. The organization lists Creed Cardon, President/dentist, as its authorized official.

NPPES Registry Identity

NPI1851274435

Entity TypeOrganization

Primary Taxonomy1223D0001X

Legal Business NameHAVEN DENTAL OF SOUTHLAKE, PLLC

Location Address1845 E SOUTHLAKE BLVD # 144Southlake, TX 76092-6501

Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996 · Fax (918) 235-9079

Phone(817) 554-1122

Organization SubpartNo

Authorized OfficialCreed CardonPresident/dentist · (918) 998-0996

Enumeration DateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1851274435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers

Taxonomy Code1223D0001X

Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

1845 E SOUTHLAKE BLVD # 144, Southlake, TX 76092

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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

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 Haven Dental Of Southlake, PLLC's NPI number?

The NPI number for Haven Dental Of Southlake, PLLC is 1851274435. It was assigned to this organization in the NPPES registry on July 30, 2025.

Where is Haven Dental Of Southlake, PLLC located?

Haven Dental Of Southlake, PLLC is located at 1845 E Southlake Blvd # 144, Southlake, TX 76092. The listed phone number is (817) 554-1122.

What is Haven Dental Of Southlake, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Haven Dental Of Southlake, PLLC was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.