Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Buhlebenkosi Prisca Mabandla

Individual provider Dentist · NPI 1164842407

Buhlebenkosi Prisca Mabandla is a Dentist in Marietta, Georgia. Graduated from Howard University College of Dentistry in 2014, 12 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland and Texas.

Years since qualifying
12
Trained at
Howard University College of Dentistry
Licensed in
MD, TX
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

1090 Northchase Pkwy SE Ste 290
Marietta, GA 30067-6402
Phone: (202) 520-7469
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1808 New Jersey Ave Nw Apt A, Washington, DC 20001-5128 — (214) 938-8356

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 16593 (MD)
Dentist Taxonomy 122300000X · Licence 31473 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164842407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 25, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolHOWARD UNIVERSITY COLLEGE OF DENTISTRY
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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