P Praxis·MD
● Active Type 1 · Individual

Buhlebenkosi Prisca Mabandla

Dentist·Marietta, GA· NPI 1164842407 · Enumerated 2014 · 12 years on NPI
Mabandla is 1 of 219 dentist providers in Marietta and 1 of 4309 in Georgia.
NPI age
12 years
Enumerated 2014-04-25
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
MD, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
2
In the 13% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
1090 Northchase Pkwy Se Ste 290
Marietta, GA 300676402
📞 2025207469
Mailing address
1090 Northchase Pkwy Se Ste 290
Marietta, GA 300676402
📞 2025207469

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1808 New Jersey Ave Nw Apt A
Washington, DC 200015128
📞 2149388356

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    MD license #16593 taxonomy 1223G0001X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    TX license #31473 taxonomy 122300000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new dentist providers have been added in Marietta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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