Dustin Ross Kilby, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN014756 Issued in GA

Practice address

2704 N Oak St BLDG C1
Valdosta, GA 31602-1796

Phone

(229) 247-0200

NPI assigned

Jun 9, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kilby Family Dentistry, LLC

  • Dentist
  • Valdosta, GA
  • NPI 1164251898
  NPD Authorized official
• Valdosta Center for Sleep Apnea Snoring & TMJ LLC

  • General Practice Dentistry
  • Valdosta, GA
  • NPI 1982465878
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1649683541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST",
            "address_2": "BLDG C1",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021796",
            "telephone_number": "229-247-0200",
            "fax_number": "229-241-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG C1",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021796",
            "telephone_number": "229-247-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Central Ave N",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317943966",
            "country_code": "US",
            "telephone_number": "229-586-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILBY",
        "first_name": "DUSTIN",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Alice Keown, FNP
• Keystone Therapy Services
• Hitham H Khalil, M.D.
• Charmaine Kidd, FNP
• Kilby Family Dentistry, LLC
• Ashley Suzanne Kindoll, FNP-C
• Brittney King, M.ED., CCC-SLP
• Gwendolyne Molly King
• Linda Ann King, PT, ECS, CHT
• Tiamia King

• Dentist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.