Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Havendale Dental Off PA

Organization General Practice Dentistry · NPI 1023171584

Havendale Dental Off PA is a General Practice Dentistry in Winter Haven, Florida. Licensed in California and Florida. Registered with an NPI since 2006.

Licensed in
CA, FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7111 Cypress Garden Blvd
Winter Haven, FL 33884
Phone: (863) 324-7401
Fax: (863) 324-1024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN10392 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 52172 (CA)

Record details

NPI number1023171584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dipak Sheth — President · (863) 324-7401
NPI enumeratedDecember 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address7111 Cypress Garden Blvd, Winter Haven, FL 33884

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