Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699150110 Individual Practitioner Female Practitioner

Shadan Hafsa

Dentist - General Practice • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Shadan Hafsa is a registered healthcare professional specializing in Dentist - General Practice in Brandon, FL. Practice services are available at 611 E BLOOMINGDALE AVE STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

611 E Bloomingdale Ave Ste C

Brandon, FL 335118127

Telephone 8138200071
Fax 8138200072
Associated Practice Facility / Clinic
🏢 Dental Day Llc Facility NPI 1295206324

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
65 Specialists

Practicing in Brandon, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN 21493

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 07, 2019

Registered at 611 E BLOOMINGDALE AVE STE C, BRANDON, FL 335118127 (Tel: 8138200071)

📍
Updated Business Mailing Address January 07, 2019

Registered at 611 E BLOOMINGDALE AVE STE C, BRANDON, FL 335118127 (Tel: 8138200071)

NPI Profile Active July 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2015

Registered at 224 BULLARD PKWY, TEMPLE TERRACE, FL 336175512 (Tel: 8139882729)

📍
Updated Business Mailing Address July 26, 2015

Registered at 224 BULLARD PKWY, TEMPLE TERRACE, FL 336175512

👤
Provider Name / Credentials Updated July 26, 2015

Recorded as SHADAN HAFSA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2015

Dentist (License #DN 21493 in FL)

🟢
Initial NPI Registration & Enumeration July 26, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699150110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2015
Last Update: October 29, 2020
Sole Proprietor: No

Mailing Address

611 E Bloomingdale Ave Ste C

Brandon, FL 335118127

Phone: 8138200071

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.