Kirby, Charles Edward
Kirby, Charles Edward is an individual health care provider with primary practice located at 45 W Crossville Rd Ste 505 , Roswell GA 30075-2964. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Kirby, Charles Edward can be contacted via phone (770) 993-7424.Contact Information
Primary practice address
45 W Crossville Rd Ste 505
Roswell GA 30075-2964
Phone: (770) 993-7424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN014933 | Georgia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / General Practice | 1223G0001X | DN014933 | Georgia |
Profile Details
| NPI number | 1316201825 |
|---|---|
| LBN Legal business name | Kirby, Charles Edward |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2012 |
| Last updated | Mar 14th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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