Individual
DR. ANTHONY JUSTIN BURGOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-4555
(404) 778-5879
Mailing address
1365 CLIFTON RD NE STE 2300, ATLANTA, GA 30322-1013
(404) 778-4555
(404) 778-5879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123020
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
17683
GA
390200000X
Student in an Organized Health Care Education/Training Program
17683
GA
Other
Enumeration date
04/04/2021
Last updated
09/30/2025
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