P Praxis·MD
● Active Type 2 · Organization

Mall Of Georgia Dentistry

Dentist·Buford, GA· NPI 1871943662 · Enumerated 2016 · 9 years on NPI
Mall Of Georgia Dentistry is 1 of 4309 dentist organizations in Georgia.
NPI age
9 years
Enumerated 2016-06-13
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Vancil
Office Manager
Last NPPES update
2018-05-02
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
1905 Mall Of Georgia Blvd Ste 1
Buford, GA 30519
📞 6787146343fax 6787146345
Mailing address
1905 Mall Of Georgia Blvd Ste 1
Buford, GA 30519
📞 6787146343fax 6787146345

Authorized official

Allison Vancil
Office Manager
📞 6787146343

Individual providers at this organization

1 individual provider on file at this primary practice address.

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.
    GA license #012441 taxonomy 1223G0001X
  • Clinic/Center
    Definition to come...
    GA license #012441 taxonomy 261QD0000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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