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 provides 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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