Cherokee Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013366 Issued in GA

Legal business name

CHEROKEE FAMILY DENTAL, LLC

Practice address

2920 Marietta Hwy
Suite 146
Canton, GA 30114-8212

Phone

(770) 704-6987

NPI assigned

Nov 15, 2013

Last updated

Nov 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Johnson, DMD

Title

Owner

Phone

(770) 704-6987

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Patrick Stewart, D.M.D

  • General Practice Dentistry
  • Canton, GA
  • NPI 1326109216
  NPD (past)

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1194155986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 MARIETTA HIGHWAY",
            "address_2": "SUITE 146",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 MARIETTA HWY",
            "address_2": "SUITE 146",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148212",
            "telephone_number": "770-704-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-704-6987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN014617",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013366",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherokee County Health Department
• Cherokee County School Dirstrict
• Cherokee Day Training Center, Inc.
• Cherokee Eye Group, Inc. (Cherokee Eye Group)
• Cherokee Family Dental East Cherokee LLC (Cherokee Family Dental East Cherokee)
• Cherokee Lung & Sleep Specialists, P.C.
• Cherokee Radiation Oncology
• Cherokee Women's Health Specialist, P.C.
• Alyssa Chester, M.S.
• Darrell Chester, RPH

• General Practice Dentistry in Canton, GA
• Providers in Canton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.