Active NPI
Paul Washington Lindo, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tyrone, GA
National Provider Identifier
1881769719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN011348
- Practice address
- 1922 Highway 74 N Ste E
Tyrone, GA 30290-1660 - Phone
- (770) 892-2110
- Fax
- (770) 892-2126
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN011348 | GA | Primary |
Addresses
Primary practice location
1922 Highway 74 N Ste E
Tyrone, GA 30290-1660
Mailing address
1922 Highway 74 N Ste E
Tyrone, GA 30290-1660
Phone (770) 892-2110
Other practice location 1
3660 Flat Shoals Rd Ste 150
Decatur, GA 30034-1637
Phone (404) 241-2925
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN011348 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Orthodontics and Dentistry,LLC | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Tyrone, GA
- NPI 1023183035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1881769719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 HIGHWAY 74 N STE E",
"city": "TYRONE",
"state": "GA",
"postal_code": "302901660",
"telephone_number": "770-892-2110",
"fax_number": "770-892-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 HIGHWAY 74 N STE E",
"city": "TYRONE",
"state": "GA",
"postal_code": "302901660",
"telephone_number": "770-892-2110",
"fax_number": "770-892-2126"
}
],
"practiceLocations": [
{
"address_1": "3660 Flat Shoals Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300341637",
"country_code": "US",
"telephone_number": "404-241-2925",
"fax_number": "404-241-3674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDO",
"first_name": "PAUL",
"middle_name": "WASHINGTON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN011348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.