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Provider Profile

Nicole Widjaja, DMD

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At a glance

About Dr. Widjaja

Listed in the NPI registry as a general practice dentistry, Nicole Widjaja, DMD practices in Roswell, GA. NPI 1063259356 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. DN123505As reported
NPINational Provider Identifier
1063259356Issued 2024

As reported to the NPI registry ↗

Common questions

What does Dr. Widjaja specialize in?

Dr. Widjaja is a dentist in Roswell, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “General Practice Dentistry”.

NPI registry

Where is Dr. Widjaja located?

Dr. Widjaja is listed at 1350 Upper Hembree Rd, Roswell, GA 30076. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Widjaja's phone number?

The number on file is (678) 920-7675. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Widjaja's NPI number?

Dr. Widjaja's National Provider Identifier is 1063259356. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Widjaja been practicing?

Dr. Widjaja has 2+ years experience. Registered with an NPI since 2024. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Widjaja confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Widjaja. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.

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