Active NPI
Didier Guillaume, DMD
- Prosthodontics
- Atlanta, GA
National Provider Identifier
1447396957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN012673
- Practice address
- 2233 Peachtree Rd. NE
Suite 300
Atlanta, GA 30309 - Phone
- (404) 609-6898
- Fax
- (404) 609-6894
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN012673 | GA | Primary |
Addresses
Primary practice location
2233 Peachtree Rd. NE
Suite 300
Atlanta, GA 30309
Mailing address
PO Box 190856
Atlanta, GA 31119-0856
Phone (404) 816-7848
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 |
|---|---|---|---|
| DN012673 | GA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1447396957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190856",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311190856",
"telephone_number": "404-816-7848",
"fax_number": "770-441-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 PEACHTREE RD. NE",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-609-6898",
"fax_number": "404-609-6894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLAUME",
"first_name": "DIDIER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "GA",
"license": "DN012673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.