Burgdorf, Grant Christian
Burgdorf, Grant Christian is an sole proprietor health care provider with primary practice located at 1505 Mt Vernon Rd, Suite 200 , Atlanta GA 30338. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Burgdorf, Grant Christian can be contacted via phone (770) 396-7321.Contact Information
Primary practice address
1505 Mt Vernon Rd, Suite 200
Atlanta GA 30338
Phone: (770) 396-7321
Fax: (770) 396-4936
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 059402 | New York |
Dental Providers / Dentist | 122300000X | DN015915 | Georgia |
Dental Providers / Endodontics | 1223E0200X | DN015915 | Georgia |
Dental Providers / Dentist | 122300000X | 019.030235 | Illinois |
Profile Details
NPI number | 1548616238 |
---|---|
LBN Legal business name | Burgdorf, Grant Christian |
Credentials | D.D.S., M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2016 |
Last updated | Aug 6th, 2020 - about 5 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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