P Praxis·MD
● Active Type 1 · Individual

DR. Tyler William Kisling, D.D.S.

Dentist·Roswell, GA· NPI 1891170015 · Enumerated 2015 · 10 years on NPI
Kisling is 1 of 74 dentist providers in Roswell and 1 of 4309 in Georgia.
NPI age
10 years
Enumerated 2015-07-29
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-09-15
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
10 years
↓ 8 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-07Enumerated in NPPES
2015 2026

Where they practice

Practice location
10930 Crabapple Rd, Suite 106
Roswell, GA 300755813
📞 6783521090
Mailing address
10930 Crabapple Rd, Suite 106
Roswell, GA 300755813
📞 6783521090

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.
    CA license #64864 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...
    CA license #64864 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 11 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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