Organization Active NPI

Nathan Cherof DMD, LLC

  • Dental Clinic/Center
  • Roswell, GA
National Provider Identifier
1083480446
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NATHAN CHEROF DMD, LLC
Doing business as
Roswell Mill Dentistry
Practice address
426 S Atlanta St Ste 100
Roswell, GA 30075-4903
Phone
(770) 248-9215
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kamyar Kamy Dehdashti, DMDNPI 1538808084
Title
Dentist
Phone
(404) 421-2830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

426 S Atlanta St Ste 100
Roswell, GA 30075-4903

Mailing address

426 S Atlanta St Ste 100
Roswell, GA 30075-4903
Phone (770) 248-9215

Other names 1

  • Roswell Mill Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

426 S Atlanta St
#100
Roswell, GA 30075
Phone (770) 248-9215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1083480446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 S ATLANTA ST STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754903",
            "telephone_number": "770-248-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S ATLANTA ST STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754903",
            "telephone_number": "770-248-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN CHEROF DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "DEHDASHTI",
        "authorized_official_first_name": "KAMYAR",
        "authorized_official_middle_name": "KAMY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-421-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roswell Mill Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.