Organization Active NPI

Dawlat G. Hasso, DDS, PC

  • General Practice Dentistry
  • Auburn Hills, MI
National Provider Identifier
1467612366
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017711 Issued in MI
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

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Dr. Dawlat Hasso, DDSNPI 1699884767
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4485840MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.