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 provides Dentist services 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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