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BUHLEBENKOSI PRISCA MABANDLA
NPI 1164842407
Dentist - General Practice in Marietta, GA

Active since April 25, 2014PECOS Enrolled
1090 NORTHCHASE PKWY SE STE 290, MARIETTA, GA 30067(202) 520-7469 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Oct 24, 2017 and 1 more (4 updates tracked since 2016).

About Buhlebenkosi Prisca Mabandla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUHLEBENKOSI PRISCA MABANDLA (NPI 1164842407) is an individual general practice provider in Marietta, Georgia, licensed in Maryland (16593) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Howard University College Of Dentistry (2014).

NPPES Registry Identity

NPI1164842407
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameBUHLEBENKOSI PRISCA MABANDLA
Location Address1090 NORTHCHASE PKWY SE STE 290Marietta, GA 30067-6402
Mailing Address1090 Northchase Pkwy Se Ste 290Marietta, GA 30067-6402 · (202) 520-7469
Phone(202) 520-7469
Sole ProprietorYes
Medical School CMSHoward University College Of DentistryGraduated 2014
Enumeration DateApril 25, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1164842407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 16593
Definition

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.

Also ListedDentistTaxonomy 122300000X · License 31473 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1090 NORTHCHASE PKWY SE STE 290, Marietta, GA 30067
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Secondary Practice Location 1

Location 11808 New Jersey Ave NW Apt AWashington, DC 20001-5128 · Phone (214) 938-8356

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Buhlebenkosi Prisca Mabandla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608371240
PECOS Enrollment IDI20250925000086
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAYLA DAWSON DDS
Dentist (General Practice)
1090 NORTHCHASE PKWY SE STE 290
MARIETTA, GA 30067
Cobb County (770) 916-9606
JORGE DEL CUADRO
Dentist (Pediatric Dentistry)
1090 NORTHCHASE PKWY SE STE 290
MARIETTA, GA 30067
Cobb County (678) 816-4917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buhlebenkosi Mabandla's NPI number?

The NPI number for Buhlebenkosi Mabandla is 1164842407. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Buhlebenkosi Mabandla located?

Buhlebenkosi Mabandla practices at 1090 Northchase Pkwy SE Ste 290, Marietta, GA 30067. The listed phone number is (202) 520-7469.

What is Buhlebenkosi Mabandla's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Buhlebenkosi Mabandla enrolled in Medicare?

Yes. Buhlebenkosi Mabandla is registered in the Medicare PECOS enrollment system.

What insurance does Buhlebenkosi Mabandla accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Buhlebenkosi Mabandla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Buhlebenkosi Mabandla was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.