Individual provider Active NPI

Albert S. Baawo Jr., DMD

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1770637514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012807 Issued in GA
Practice address
3280 Howell Mill Rd NW
Ste 315
Atlanta, GA 30327-4111
Phone
(404) 355-6088
Fax
(404) 355-6086
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012807 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW
Ste 315
Atlanta, GA 30327-4111

Mailing address

3280 Howell Mill Rd NW
Ste 315
Atlanta, GA 30327-4111
Phone (404) 355-6088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN012807GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Albert Baawo Jr DMD PC Past Accepting new patients

Organizations & group practices 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770637514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "STE 315",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-355-6088",
            "fax_number": "404-355-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "STE 315",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-355-6088",
            "fax_number": "404-355-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAWO",
        "first_name": "ALBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.