P Praxis·MD
● Active Type 1 · Individual

DR. Charles Edward Kirby, D.M.D.

Dentist·Roswell, GA· NPI 1316201825 · Enumerated 2012 · 13 years on NPI
Kirby is 1 of 74 dentist providers in Roswell and 1 of 4309 in Georgia.
NPI age
13 years
Enumerated 2012-06-28
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
2
In the 13% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
45 W Crossville Rd Ste 505
Roswell, GA 300752964
📞 7709937424
Mailing address
45 W Crossville Rd Ste 505
Roswell, GA 300752964
📞 7709937424

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 #DN014933 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...
    GA license #DN014933 taxonomy 122300000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Solo or small practice. No 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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