P Praxis·MD
● Active Type 1 · Individual

DR. Mary Wolfe Doornbos, DMD

Dentist·Marietta, GA· NPI 1952538928 · Enumerated 2009 · 16 years on NPI
Doornbos is 1 of 18 dentist providers in Marietta and 1 of 539 in Georgia.
NPI age
16 years
Enumerated 2009-06-17
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-01-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
16 years
≈ at median (16 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
2
In the 26% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
135 Johnson Ferry Rd, Suite 2210
Marietta, GA 300684942
📞 4043536651
Mailing address
2227 Austin Lake Dr Se
Smyrna, GA 300823381
📞 7065183032

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #DN013886 taxonomy 1223P0221X
  • Dentist
    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 #DN013886 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...
    KY license #8938 taxonomy 122300000X

Practice context

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

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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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