Wael Amgad Refaat Ahmed Hassan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4624 Issued in ME

Practice address

Aspen Dental
791 Turner Street
Auburn, ME 04210

Phone

(207) 558-0085

Fax

(207) 753-0594

NPI assigned

Jun 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spectrum Healthcare Partners, P.a.

  dba Spectrum Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, ME
  • NPI 1386757607
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1467946541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 TURNER STREET",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "04210",
            "telephone_number": "207-558-0085",
            "fax_number": "207-753-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASPEN DENTAL",
            "address_2": "791 TURNER STREET",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "04210",
            "telephone_number": "207-558-0085",
            "fax_number": "207-753-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "WAEL",
        "middle_name": "AMGAD REFAAT AHMED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Harper, D.O.
• William Harris
• Mallory Harrison
• Hamido Yussuf Hassan, LCPC-C, CADC
• Sahro Y Hassan
• Hassanat Wellness LLC
• Gary R Hatfield, MD
• Michelle Hathaway
• Ryan Hayes, CAC
• Health Affiliates Maine

• General Practice Dentistry in Auburn, ME
• Providers in Auburn, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.