Nicole Widjaja, DMD - Dentist in Roswell, GA

Nicole Widjaja, DMD is a Dentist - General Practice based in Roswell, Georgia. Nicole Widjaja is licensed to practice in Georgia (license number DN123505) and her current practice location is 1350 Upper Hembree Rd, Roswell, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 920-7675.

NPI number for Nicole Widjaja is 1063259356 and her current mailing address is 1350 Upper Hembree Rd, Roswell, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063259356.

Contact Information

Nicole Widjaja, DMD
1350 Upper Hembree Rd,
Roswell, GA 30076-0928
(678) 920-7675
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicole Widjaja
GenderFemale
SpecialityDentist - General Practice
Location1350 Upper Hembree Rd, Roswell, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063259356
  • Provider Enumeration Date: 07/12/2024
  • Last Update Date: 07/12/2024

Medical Identifiers

Medical identifiers for Nicole Widjaja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063259356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DN123505 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Widjaja is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Widjaja, DMD
1350 Upper Hembree Rd,
Roswell, GA 30076-0928

Ph: () -
Nicole Widjaja, DMD
1350 Upper Hembree Rd,
Roswell, GA 30076-0928

Ph: (678) 920-7675

Reviews and Comments


Dentist in Roswell, GA

Alla Alpert, DDS
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Practice Location: 1230 Upper Hembree Rd Ste 202, Roswell, GA 30076
Phone: 678-297-3992    Fax: 678-297-3998
Dr. Preetha M Prasath, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 10800 Alpharetta Hwy Ste 180, Roswell, GA 30076
Phone: 781-526-4240    
Dr. Randall Wayne Miller, D.D.S.
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Practice Location: 275 Saddlebrook Ter, Roswell, GA 30075
Phone: 770-518-5682    
Dr. Victoria Callicutt, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 1240 Upper Hembree Rd, Suite B, Roswell, GA 30076
Phone: 770-753-0067    Fax: 770-753-0994
Dr. Thomas Alan Cunningham, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 11775 Pointe Pl, Ste 102, Roswell, GA 30076
Phone: 770-772-9999    Fax: 770-442-6768
Mohit Kataria, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1755 Woodstock Rd # 100, Roswell, GA 30075
Phone: 770-993-6893    
Dr. Thomas Lee Dodson, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1405 Old Alabama Rd, Suite 100, Roswell, GA 30076
Phone: 770-992-5779    Fax: 770-992-1627

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.