P Praxis·MD
● Active Type 2 · Organization

Cosmetic Family Dentistry Of Roswell

Clinic/Center·Roswell, GA· NPI 1538392493 · Enumerated 2009 · 16 years on NPI
Cosmetic Family Dentistry Of Roswell is 1 of 507 clinic/center organizations in Georgia.
NPI age
16 years
Enumerated 2009-08-26
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wiggins
President
Last NPPES update
2009-08-26
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
16 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2009 → 2026

2009-08Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
1087 Alpharetta St
Roswell, GA 300754483
📞 7706500992
Mailing address
1087 Alpharetta St
Roswell, GA 300754483
📞 7706500992fax 7706500061

Authorized official

Kenneth Morris Wiggins, D.D.S.
President
📞 7702260008

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #DN012484GA license #DN012485 taxonomy 261QD0000X

Identifiers

TypeValueNotes
05 (GA) 329140584A
05 (GA) 829858019A

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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