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

Winter Haven Modern Dentistry, PA

Organization Dentist · NPI 1629615497

Winter Haven Modern Dentistry, PA is a Dentist in Winter Haven, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

565 Cypress Gardens Blvd
Winter Haven, FL 33880-4406
Phone: (863) 656-4777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1629615497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katie McCann Lee — Owner/Gp · (863) 656-4777
Other names Winter Haven Modern Dentistry
NPI enumeratedNovember 29, 2019
Last updated in NPPESNovember 29, 2019
Mailing address17000 Red Hill Ave, Irvine, CA 92614-5626

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