Provider Demographics
NPI:1649061466
Name:AFFORDABLE DENTURES & IMPLANTS - WINTER HAVEN II, P.A.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - WINTER HAVEN II, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:863-291-8161
Mailing Address - Street 1:426 CITI CTR ST BAY R-10
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-3425
Mailing Address - Country:US
Mailing Address - Phone:863-291-8161
Mailing Address - Fax:
Practice Address - Street 1:426 CITI CTR ST BAY R-10
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-3425
Practice Address - Country:US
Practice Address - Phone:863-291-8161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty