Nukoa Family Dentistry

LBN: Nukoa Family Dentistry
Nukoa Family Dentistry is an health care organization with primary practice located at 3705 Old Norcross Rd Suite 300, Duluth GA 30096-4335. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Nukoa Family Dentistry can be contacted via phone (770) 813-0777, or through Hwang, Jonathan via phone (770) 813-0777.

Contact Information

Primary practice address
3705 Old Norcross Rd Suite 300 Duluth GA 30096-4335
Phone: (770) 813-0777
Fax: (770) 813-1023
Website:
Map and Directions
Authorized official contact:
Name: Hwang, Jonathan
Phone: (770) 813-0777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012668 Georgia

Profile Details

NPI number 1265722219
LBN Legal business name Nukoa Family Dentistry
DBA Doing business as
Authorized official Hwang, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2011
Last updated Apr 12th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265722219 NPPES
Georgia MEDICAID 626075029A

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