Jeffrey Miles Mazzawi in Canton - Pediatric Dentistry
Jeffrey Miles Mazzawi - NPI 1356364665
Jeffrey Miles Mazzawi is a Pediatric Dentistry in Canton, Georgia. Jeffrey Miles Mazzawi practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jeffrey Miles Mazzawi is 1356364665. The last update date is 2015-12-10.
Jeffrey Miles Mazzawi's current location address is 205 Waleska Rd., Canton, Georgia. You can contact this provider via phone number 7704791717 and fax number 7704791747. The mailing address for Jeffrey Miles Mazzawi is 205 Waleska Rd., Canton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Miles Mazzawi |
|---|---|
| Address | 205 Waleska Rd., Canton, Georgia |
| Phone Number | 7704791717 |
| Fax Number | 7704791747 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1356364665 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2015-12-10 |
Provider Mailing Address Detail
| Address | 205 Waleska Rd. |
|---|---|
| City | Canton |
| State | Georgia (GA) |
| Post Code | 30114 |
| Phone Number | 7704791717 |
| Fax Number | 7704791747 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN012359 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 686404389A | GA | -- |
Post Comment/ Review Below
What is the Jeffrey Miles Mazzawi's 1356364665?
The Jeffrey Miles Mazzawi's NPI (National Provider Identifier) Number is 1356364665. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeffrey Miles Mazzawi's physical address?
The Jeffrey Miles Mazzawi is physically located at 205 Waleska Rd., in the city of Canton, GA, with the postal code 30114.
What is the area of specialization for Jeffrey Miles Mazzawi, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeffrey Miles Mazzawi is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
When did Jeffrey Miles Mazzawi receive its 1356364665 assignment?
The Jeffrey Miles Mazzawi was assigned its 1356364665 on 2006-07-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jeffrey Miles Mazzawi most recently updated?
The details pertaining to the Jeffrey Miles Mazzawi, including its address, specialty, and other relevant information, were last refreshed on 2015-12-10.
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