Nguyen, Diane Hao

Nguyen, Diane Hao is an individual health care provider with primary practice located at 969 Windy Hill Road Suite J, Smyrna GA 30080. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Nguyen, Diane Hao can be contacted via phone (770) 431-9578.

Contact Information

Primary practice address
969 Windy Hill Road Suite J Smyrna GA 30080
Fax: (770) 438-2919
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN012312 Georgia

Profile Details

NPI number 1942211933
LBN Legal business name Nguyen, Diane Hao
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942211933 NPPES
Georgia Other 100489 AVESIS GA MEDICAL DENTAL
Georgia MEDICAID 000909235A AVESIS GA MEDICAL DENTAL
Georgia Other 9180389 AVESIS GA MEDICAL DENTAL

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