Haven Dental of Southlake, PLLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

HAVEN DENTAL OF SOUTHLAKE, PLLC

Practice address

1845 E Southlake Blvd # 144
Southlake, TX 76092-6501

Phone

(817) 554-1122

NPI assigned

Jul 30, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Creed Cardon, DDS

Title

President/Dentist

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanner Welby Dice, DMD

  • Dentist
  • Raleigh, NC
  • NPI 1750010237
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1851274435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-235-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E SOUTHLAKE BLVD # 144",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926501",
            "telephone_number": "817-554-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN DENTAL OF SOUTHLAKE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "CREED",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "918-998-0996",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Hatcher, LMFT
• Stacey L Hatcher, M.D.
• Michelle Hatley, PT
• Regan Marie Hatwig
• Haylee Rebecca Hauser, PA-C
• Carter Hayes, DDS
• Rebecca Nealey Haynes, M.S. CCC-SLP
• HCS Services of Texas, Inc.
• Healing Care Hospice Inc
• Health Imaging Partners, LLC

• Public Health Dentistry in Southlake, TX
• Providers in Southlake, TX by specialty
• Public Health Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.