Nicole Widjaja is a Roswell, Georgia based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Nicole Widjaja is DN123505 for General Practice Dentistry in Georgia. Her current practice location is 1350 Upper Hembree Rd, Roswell. Patients can reach her at 678-920-7675.
Nicole Widjaja is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Nicole Widjaja speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1063259356
NPI Enumeration Date:
12 Jul, 2024
NPI Last Update On:
12 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Widjaja are as mentioned below.
License Number
Specialization
State
Status
DN123505
General Practice Dentistry
Georgia
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1350 Upper Hembree Rd, Roswell, Georgia
Zip:
30076-0928
Patients can reach Nicole Widjaja at 1350 Upper Hembree Rd, Roswell, Georgia or can call to book an appointment on 678-920-7675. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.