Individual provider · Type 1 NPI

Nicole Widjaja, DMD

General Practice Dentistry · Roswell, GA

NPI number 1063259356 Active

Practice location

1350 Upper Hembree Rd
Roswell, GA 30076-0928

Call (678) 920-7675 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN123505 (GA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

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About NPI 1063259356

Nicole Widjaja, DMD's National Provider Identifier is 1063259356, issued on Jul 12, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Roswell, GA. The record was last updated on Jul 12, 2024.