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Active NPI 1225816788 Individual Practitioner Female Practitioner

Hafsa Affendi , BDS, MDS, MS

Dentist - Endodontics • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Hafsa Affendi, BDS, MDS, MS is a registered healthcare professional specializing in Dentist - Endodontics in Port Huron, MI. Practice services are available at BLUE WATER ENDODONTICS under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Blue Water Endodontics
Holland Dental Centre 1982 Holland Avenue

Port Huron, MI 48060

Telephone 8109857300
Associated Practice Facility / Clinic
🏢 Michigan Endodontics Pc Facility NPI 1861606212

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Port Huron, MI (183 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: 2026-03-20
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MI 2901601247

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jason Lang , DDS, MS

Dentist - Endodontics

NPI 1831398502

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 20, 2026

Registered at BLUE WATER ENDODONTICS, HOLLAND DENTAL CENTRE 1982 HOLLAND AVENUE, PORT HURON, MI 48060 (Tel: 8109857300)

📍
Updated Business Mailing Address March 20, 2026

Registered at 1982 HOLLAND AVE, PORT HURON, MI 480601520 (Tel: 8109857300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2025

Dentist (License #2901601247 in MI)

NPI Profile Active September 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2023

Registered at 315 E EISENHOWER PKWY STE 220, ANN ARBOR, MI 481083330 (Tel: 7347613166)

📍
Updated Business Mailing Address September 18, 2023

Registered at 3077 SIGNATURE BLVD APT B, ANN ARBOR, MI 481036495 (Tel: 8622981877)

👤
Provider Name / Credentials Updated September 18, 2023

Recorded as HAFSA AFFENDI, BDS, MDS, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Dentist (License #23256040901 in MI)

🟢
Initial NPI Registration & Enumeration September 18, 2023

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: 1225816788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2023
Last Update: March 20, 2026
Sole Proprietor: Yes

Mailing Address

1982 Holland Ave

Port Huron, MI 480601520

Phone: 8109857300

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.