Individual provider Active NPI

Dawlat G Hasso, DDS

  • Dentist
  • Monroe, MI
National Provider Identifier
1699884767
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901017711 Issued in MI
Practice address
1262 N Macomb St
Monroe, MI 48162-3197
Phone
(734) 241-6166
NPI assigned
Aug 30, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901017711 MI Primary
General Practice Dentistry 1223G0001X 2901017711 MI

Addresses

Primary practice location

1262 N Macomb St
Monroe, MI 48162-3197

Mailing address

6323 Glyndebourne Dr
Troy, MI 48098-2212
Phone (248) 379-3093

Other identifiers 1

IdentifierTypeStateIssuer
332B00000XOtherMI332B00000X

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229000314 MI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4789989880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetouchsmiles Inc General Practice Current Accepting new patients
LTS Taylor PLLC General Practice Current Accepting new patients
Dawlat G. Hasso, DDS, PC General Practice Past Accepting new patients
Pinnacle Dental Group PLLC General Practice PastSince Sep 11, 2023 Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1699884767",
    "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": "1262 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623197",
            "telephone_number": "734-241-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSO",
        "first_name": "DAWLAT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-02-12",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017711",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017711",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "332B00000X",
            "identifier": "332B00000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.