Organization
HAVEN DENTAL OF SOUTHLAKE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON DDS (PRESIDENT/DENTIST)
(918) 998-0996
Entity
Organization
Contact information
Practice address
1845 E SOUTHLAKE BLVD # 144, SOUTHLAKE, TX 76092-6501
(817) 554-1122
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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