Diane Hao Nguyen DDS, P.C.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

DN012312 Issued in GA

Legal business name

DIANE HAO NGUYEN DDS, P.C.

Practice address

969 Windy Hill Rd SE
Suite J
Smyrna, GA 30080-2040

Phone

(770) 431-9578

Fax

(770) 438-2919

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Diane Hao NguyenNPI 1942211933

Title

Incorporator

Phone

(770) 431-9578

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Hao Nguyen, DDS

  • Dentist
  • Smyrna, GA
  • NPI 1942211933
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1083155543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 PHILLIPS CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300683161",
            "telephone_number": "678-371-9936",
            "fax_number": "770-438-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 WINDY HILL RD SE",
            "address_2": "SUITE J",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802040",
            "telephone_number": "770-431-9578",
            "fax_number": "770-438-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE HAO NGUYEN DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "HAO",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "770-431-9578",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "DN012312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000909235A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dentfirst PC
• Joel Louis Desaulniers, DC
• June Deschamps
• Alyssa Noelle Dewberry, M.ED, CCC-SLP
• Gurdrishti Dhawan, DPM
• Latoya Dickens, PHARM D
• Annette Fluellen Dickerson, P.A.
• Starr Patrice Dickerson, FNP-BC
• Digicom Healthcare Solution
• Dillon & Greene Dental Services LLC

• Point of Service in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.