OrganizationActive
Winter Haven Modern Dentistry, PA
NPI 1629615497 · Dentist · Winter Haven, FL
Winter Haven Modern Dentistry, PA is a Dentist organization in Winter Haven, FL (NPI 1629615497).
Provider details
- NPI number
- 1629615497
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Katie Mccann Lee, Owner/Gp(863) 656-4777
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
565 Cypress Gardens Blvd
Winter Haven, FL 33880-4406
Phone: (863) 656-4777
Street-level locationGet directions
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Other names (DBA / former)
- Doing business as
- Winter Haven Modern Dentistry
Registry dates
- Enumerated
- 2019-11-29
- Last updated
- 2019-11-29
Frequently asked questions
- What is Winter Haven Modern Dentistry, PA's NPI number?
- Winter Haven Modern Dentistry, PA's National Provider Identifier (NPI) is 1629615497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Winter Haven Modern Dentistry, PA?
- Winter Haven Modern Dentistry, PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Winter Haven Modern Dentistry, PA located?
- Winter Haven Modern Dentistry, PA's practice location on file with NPPES is 565 Cypress Gardens Blvd, Winter Haven, FL 33880-4406.
- What is Winter Haven Modern Dentistry, PA's phone number?
- The practice phone number listed in the NPPES registry for Winter Haven Modern Dentistry, PA is (863) 656-4777.
- Who is the authorized official for Winter Haven Modern Dentistry, PA?
- The authorized official listed on Winter Haven Modern Dentistry, PA's NPPES record is Katie Mccann Lee, Owner/Gp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Winter Haven Modern Dentistry, PA's NPI active?
- Yes — Winter Haven Modern Dentistry, PA's NPI (1629615497) is active in the NPPES registry as of the last update on 2019-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.