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Dr. Jeffrey Miles Mazzawi, DMD
Pediatric Dentist in Canton, Georgia
NPI 1356364665

Jeffrey Miles Mazzawi is a Pediatric Dentist based in Canton, GA and is specialized in Pediatric Dentistry. Jeffrey Miles Mazzawi practices in Canton, GA and has the professional credentials of DMD. The NPI Number for Jeffrey Miles Mazzawi is 1356364665 and holds a License No. DN012359 (Georgia).

The current practice location address for Jeffrey Miles Mazzawi is 205 Waleska Rd, Canton, GA and can be reached out via phone at 770-479-1717 and via fax at 770-479-1747.

Location: 205 Waleska Rd, Canton, GA, 30114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356364665
Provider Name
Jeffrey Miles Mazzawi
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
205 Waleska Rd, Canton, GA, 30114
Phone Number
770-479-1717
Fax Number
770-479-1747
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
686404389A 05 GA
institution
Provider Business Practice Location Address Details
Address
205 Waleska Rd
City
Canton
State
Georgia
Zip
30114
Phone Number
770-479-1717
Fax Number
770-479-1747
person
Provider Business Mailing Address Details
Address
205 Waleska Rd
City
Canton
State
Georgia
Zip
30114
Phone Number
770-479-1717
Fax Number
770-479-1747
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN012359 (Georgia)
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.
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