Hafsa Affendi, BDS, MDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901601247 Issued in MI

Practice address

Blue Water Endodontics
Holland Dental Centre 1982 Holland Avenue
Port Huron, MI 48060

Phone

(810) 985-7300

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Hafsa Effendi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endodontic Associates of Michigan PLLC

  • Endodontics
  • Ann Arbor, MI
  • NPI 1003862327
  NPD
• Michigan Endodontics PC

  • Endodontics
  • Port Huron, MI
  • NPI 1861606212
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1225816788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 HOLLAND AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601520",
            "telephone_number": "810-985-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLUE WATER ENDODONTICS",
            "address_2": "HOLLAND DENTAL CENTRE 1982 HOLLAND AVENUE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-985-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFENDI",
        "first_name": "HAFSA",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901601247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAFSA",
            "last_name": "EFFENDI",
            "prefix": "DR.",
            "credential": "BDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christa Choquette Addley
• Martha Helen Adelsburg, RPH
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• Advanced Orthopedics Orthotics LLC
• Advanced Orthopedics Physical Therapy PLLC
• Anthony V Agrusa, CRNA
• Alecia Ahles
• Aiello Counseling Services, PLLC
• Tim Aiello, MA, LPC, NCC, ADHD-C
• Thanaa Al-Hamad, MD

• Endodontics in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.