P Praxis·MD
● Active Type 1 · Individual

Jeremy Eric Hadibe, DDS

Dentist·Marietta, GA· NPI 1689839805 · Enumerated 2008 · 17 years on NPI
Hadibe is 1 of 44 dentist providers in Marietta and 1 of 358 in Georgia.
NPI age
17 years
Enumerated 2008-07-28
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-08-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 358 active dentist providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
1545 Powers Ferry Rd Se Ste 200
Marietta, GA 300679417
📞 7098094047
Mailing address
1545 Powers Ferry Rd Se Ste 200
Marietta, GA 300679417
📞 7709809404

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    GA license #DN015617PA license #DS037611 taxonomy 1223S0112X

Identifiers

TypeValueNotes
05 (AZ) 080804
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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