Provider Demographics
NPI:1467814764
Name:CRISTI Y. CHEEK, D.M.D., P.C.
Entity Type:Organization
Organization Name:CRISTI Y. CHEEK, D.M.D., P.C.
Other - Org Name:CHEEK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHEEK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-993-3775
Mailing Address - Street 1:2872 JOHNSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8305
Mailing Address - Country:US
Mailing Address - Phone:770-993-3775
Mailing Address - Fax:770-993-8328
Practice Address - Street 1:2872 JOHNSON FERRY RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8305
Practice Address - Country:US
Practice Address - Phone:770-993-3775
Practice Address - Fax:770-993-8328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-25
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0122121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty