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Jeffrey Mazzawi, DMD
NPI 1356364665 · Pediatric Dentistry · Canton, GA
Jeffrey Mazzawi, DMD is a Pediatric Dentistry provider in Canton, GA (NPI 1356364665).
Provider details
- NPI number
- 1356364665
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN012359 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 Waleska Rd
Suite 2-B
Canton, GA 30114
Phone: (770) 479-1717
Fax: (770) 479-1747
Street-level locationGet directions
Mailing address
205 Waleska Rd.
Canton, GA 30114
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2015-12-10
Frequently asked questions
- What is Jeffrey Mazzawi's NPI number?
- Jeffrey Mazzawi's National Provider Identifier (NPI) is 1356364665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Mazzawi's specialty?
- Jeffrey Mazzawi is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Jeffrey Mazzawi located?
- Jeffrey Mazzawi's practice location on file with NPPES is 205 Waleska Rd, Canton, GA 30114.
- What is Jeffrey Mazzawi's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Mazzawi is (770) 479-1717.
- Is Jeffrey Mazzawi's NPI active?
- Yes — Jeffrey Mazzawi's NPI (1356364665) is active in the NPPES registry as of the last update on 2015-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.