CHEROKEE CHILDREN'S DENTISTRY – Pediatric Dentistry, NPI 1639362445

CHEROKEE CHILDREN'S DENTISTRY is a healthcare provider. based in Canton, Georgia. specializing in Pediatric Dentistry. The organization holds a License No. DN012359 (GA). The NPI Number for CHEROKEE CHILDREN'S DENTISTRY is 1639362445

Main info

Organization
Name
CHEROKEE CHILDREN'S DENTISTRY
NPI
1639362445
Phone
(404) 479-1717
Address
205 WALESKA RD
Authorized Official
DR. JEFFREY MILES MAZZAWI PRESIDENT D.M.D.
Enumeration Date
24 August 2007
Last Update Date
24 August 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for CHEROKEE CHILDREN'S DENTISTRY

  • 205, Waleska Road, North Canton, Canton, Cherokee County, Georgia, 30114, United States

    SUITE 2B

    CANTON, GA 301142493

    Phone: (404) 479-1717

    Fax: (404) 479-1747

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30114)

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Reviews

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Frequently asked questions

What number should I use to identify CHEROKEE CHILDREN'S DENTISTRY for billing?
Administrative and clinical systems typically use NPI 1639362445 for CHEROKEE CHILDREN'S DENTISTRY.
Quick check: is CHEROKEE CHILDREN'S DENTISTRY active?
Public NPPES data shows CHEROKEE CHILDREN'S DENTISTRY with an active NPI status right now.
What type of care does CHEROKEE CHILDREN'S DENTISTRY provide?
CHEROKEE CHILDREN'S DENTISTRY's profile centers on Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHEROKEE CHILDREN'S DENTISTRY?
CHEROKEE CHILDREN'S DENTISTRY is associated with Canton, Georgia in the same public data insurers reference.
Can I export CHEROKEE CHILDREN'S DENTISTRY's record?
You can download the official NPPES record; we summarize key fields for readability.

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