NUKOA FAMILY DENTAL NPI 1033380050

NPI Information

NPI: 1033380050
Provider Name: NUKOA FAMILY DENTAL
Classification: Clinic/Center - 261QD0000X
Specialization: Dental
Entity Type: Organization
Address: 3705 OLD NORCROSS RD
SUITE 300
DULUTH, GA
ZIP 30096
Phone: (770) 813-0777

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NPI Details

NUKOA FAMILY DENTAL is a dental clinic center in Duluth, GA. NUKOA FAMILY DENTAL NPI is 1033380050. The provider is registered as an organization entity type.

The provider's business location address is:

3705 OLD NORCROSS RD
SUITE 300
DULUTH, GA
ZIP 30096-313
Phone: (770) 813-0777

The provider's authorized official is Jonathan Hwang .
The authorized official title is Dmd and has the following contact phone number (770) 813-0777.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 10/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN012668	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	561235509A	MEDICAID	GEORGIA
2	626075029 A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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