Individual
DR. SYED FAZEEL HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2154 GOODMAN RD W # 1, HORN LAKE, MS 38637-1303
(662) 393-9200
Mailing address
1321 NW 91ST TER, GAINESVILLE, FL 32606-5529
(352) 213-4172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111167
MS
Other
Enumeration date
12/03/2024
Last updated
06/05/2025
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