Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Haven Dental of Southlake, PLLC

Organization Public Health Dentistry · NPI 1851274435

Haven Dental of Southlake, PLLC provides Public Health Dentistry in Southlake, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1845 E Southlake Blvd # 144
Southlake, TX 76092-6501
Phone: (817) 554-1122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X

Record details

NPI number1851274435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Creed Cardon — President/Dentist · (918) 998-0996
NPI enumeratedJuly 30, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619