NPIMap

Organization Active NPI

Mazzawi Family Dentistry, P.C.

  • General Practice Dentistry
  • Snellville, GA
National Provider Identifier
1811020241
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAZZAWI FAMILY DENTISTRY, P.C.
Practice address
2268 E. Main St
Snellville, GA 30078-0365
Phone
(770) 972-4436
Fax
(770) 985-8810
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. John Mark Mazzawi, DMDNPI 1508956038
Title
President
Phone
(770) 972-4463

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X GA Primary

Addresses

Primary practice location

2268 E. Main St
Snellville, GA 30078-0365

Mailing address

2268 E. Main Street
P. O. Box 365
Snellville, GA 30078-0365
Phone (770) 972-4436

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1811020241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 E. MAIN STREET",
            "address_2": "P. O. BOX 365",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300780365",
            "telephone_number": "770-972-4436",
            "fax_number": "770-985-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 E. MAIN ST",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300780365",
            "telephone_number": "770-972-4436",
            "fax_number": "770-985-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZZAWI FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "MAZZAWI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-972-4463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.