Individual
DR. GRANT CHRISTIAN BURGDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
11797 NORTHFALL LN STE 702, ALPHARETTA, GA 30009-7969
(770) 622-1484
(770) 676-6256
Mailing address
11797 NORTHFALL LN STE 702, ALPHARETTA, GA 30009-7969
(770) 622-1484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030235
IL
122300000X
Dentist
059402
NY
122300000X
Dentist
DN015915
GA
1223E0200X
Endodontics
Primary
DN015915
GA
Other
Enumeration date
05/11/2016
Last updated
05/08/2026
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