Individual
DR. CHARLES EDWARD KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
45 W CROSSVILLE RD STE 505, ROSWELL, GA 30075-2964
(770) 993-7424
Mailing address
45 W CROSSVILLE RD STE 505, ROSWELL, GA 30075-2964
(770) 993-7424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN014933
GA
1223G0001X
General Practice Dentistry
Primary
DN014933
GA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/28/2012
Last updated
03/14/2023
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