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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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