Organization Active NPI

Cherokee Street Dental

  • General Practice Dentistry
  • Kennesaw, GA
National Provider Identifier
1275422933
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHEROKEE STREET DENTAL
Practice address
2933 Cherokee St NW Ste 200
Kennesaw, GA 30144-6527
Phone
(770) 425-4100
Fax
(770) 425-4111
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Jamie Doherty, RDH
Title
Office Manager
Phone
(770) 425-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2933 Cherokee St NW Ste 200
Kennesaw, GA 30144-6527

Mailing address

2933 Cherokee St NW Ste 200
Kennesaw, GA 30144-6527
Phone (770) 425-4100

National Provider Directory

National Provider Directory

Locations

2933 Cherokee St NW
Ste 200
Kennesaw, GA 30144
Phone (770) 425-4100

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1275422933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 CHEROKEE ST NW STE 200",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446527",
            "telephone_number": "770-425-4100",
            "fax_number": "770-425-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 CHEROKEE ST NW STE 200",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446527",
            "telephone_number": "770-425-4100",
            "fax_number": "770-425-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-425-4100",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.