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DIANE HAO NGUYEN DDS P.C. NPI 1083155543


NPI Information

NPI: 1083155543
Provider Name: DIANE HAO NGUYEN DDS, P.C.
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
969 WINDY HILL RD SE
SUITE J
SMYRNA, GA
ZIP 30080
Phone: (770) 431-9578
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DIANE HAO NGUYEN DDS, P.C. is a point of service in Smyrna, GA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DIANE HAO NGUYEN DDS, P.C. NPI is 1083155543. The provider is registered as an organization entity type.

The provider's business location address is:

969 WINDY HILL RD SE
SUITE J
SMYRNA, GA
ZIP 30080-040
Phone: (770) 431-9578
Fax: (770) 438-2919

The provider's authorized official is Diane Hao Nguyen .
The authorized official title is Incorporator and has the following contact phone number (770) 431-9578.

The enumeration date for this NPI number is 3/16/2017 and was last updated on 3/16/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of ServiceDN012312GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000909235AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.