1. Home
  2. Directory
  3. Georgia
  4. Canton
  5. Dentist
  6. NPI Profile

DR. JEFFREY MILES MAZZAWI DMD
NPI 1356364665
Dentist - Pediatric Dentistry in Canton, GA

Active since July 26, 2006
205 WALESKA RD, SUITE 2-B, CANTON, GA 30114(770) 479-1717(770) 479-1747 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Miles Mazzawi Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY MILES MAZZAWI DMD (NPI 1356364665) is an individual pediatric dentistry provider in Canton, Georgia, licensed in Georgia (DN012359) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1356364665
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JEFFREY MILES MAZZAWICredential: DMD
Location Address205 WALESKA RD, SUITE 2-BCanton, GA 30114
Mailing Address205 Waleska Rd., Suite 2-bCanton, GA 30114 · (770) 479-1717 · Fax (770) 479-1747
Phone(770) 479-1717
Fax(770) 479-1747
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 10, 2015
✔ NPI 1356364665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · 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.
205 WALESKA RD, Canton, GA 30114
Open in Google Maps ↗

Other Identifiers 1

Medicaid686404389AGA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIRALI PROCTER, DMD, LLC
Dentist (General Practice)
205 WALESKA RD
CANTON, GA 30114
Cherokee County (770) 479-1717
KALLIE LAW BROCK D.M.D.
Dentist (General Practice)
205 WALESKA RD, SUITE 2A
CANTON, GA 30114
Cherokee County (770) 479-3713
CHEROKEE CHILDREN'S DENTISTRY
Dentist (Pediatric Dentistry)
205 WALESKA RD, SUITE 2B
CANTON, GA 30114
Cherokee County (404) 479-1717
DR. NIRALI PATEL PROCTER DMD
Dentist (General Practice)
205 WALESKA RD, SUITE 2B
CANTON, GA 30114
Cherokee County (770) 479-1717
DR. ANTHEA DREW DMD
Dentist (Pediatric Dentistry)
205 WALESKA RD, SUITE 2-B
CANTON, GA 30114
Cherokee County (404) 275-8443
DR. WILLIAM PAUL EARLY D.C.
Chiropractor
205 WALESKA RD, SUITE 1C
CANTON, GA 30114
Cherokee County (678) 880-7576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Mazzawi's NPI number?

The NPI number for Jeffrey Mazzawi is 1356364665. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Jeffrey Mazzawi located?

Jeffrey Mazzawi practices at 205 Waleska Rd Suite 2-B, Canton, GA 30114. The listed phone number is (770) 479-1717.

What is Jeffrey Mazzawi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jeffrey Mazzawi was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.