OrganizationActive
Cherokee Children'S Dentistry
NPI 1639362445 · Pediatric Dentistry · Canton, GA
Provider details
- NPI number
- 1639362445
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Mazzawi, President(770) 235-2288
- License
- DN012359 (GA)
Specialties & taxonomies
Dental Providers
Practice location
205 Waleska Rd
Suite 2b
Canton, GA 30114-2493
Phone: (404) 479-1717
Fax: (404) 479-1747
Approximate (ZIP-level) locationGet directions
Mailing address
205 Waleska Rd
Canton, GA 30114-2493
Registry dates
- Enumerated
- 2007-08-24
- Last updated
- 2007-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.