Active NPI
Dawlat G. Hasso, DDS, PC
- General Practice Dentistry
- Auburn Hills, MI
National Provider Identifier
1467612366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901017711
- Legal business name
- DAWLAT G. HASSO, DDS, PC
- Practice address
- 4139 Baldwin Rd
Auburn Hills, MI 48326-1225 - Phone
- (248) 379-3093
- NPI assigned
- Jun 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dawlat Hasso, DDS
- Title
- Dentist
- Phone
- (248) 379-3093
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901017711 | MI | Primary |
Addresses
Primary practice location
4139 Baldwin Rd
Auburn Hills, MI 48326-1225
Mailing address
6323 Glyndebourne Dr
Troy, MI 48098-2212
Phone (248) 379-3093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4485840 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410739200000",
"number": "1467612366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6323 GLYNDEBOURNE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480982212",
"telephone_number": "248-379-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4139 BALDWIN RD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483261225",
"telephone_number": "248-379-3093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAWLAT G. HASSO, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-13",
"last_updated": "2014-09-15",
"status": "A",
"authorized_official_last_name": "HASSO",
"authorized_official_first_name": "DAWLAT",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "248-379-3093",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901017711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4485840",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.