P Praxis·MD
● Active Type 1 · Individual

DR. Kenneth Edward Goodwin, DDS

Dentist·Roswell, GA· NPI 1508930751 · Enumerated 2006 · 19 years on NPI
Goodwin is 1 of 74 dentist providers in Roswell and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2006-11-20
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
1540 Old Alabama Rd, Suite 300
Roswell, GA 300762136
📞 7706428440fax 7706428294
Mailing address
1540 Old Alabama Rd, Suite 300
Roswell, GA 300762136
📞 7706428440fax 7706428294

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 #DN012096 taxonomy 1223G0001X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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