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Corey C. Burgoyne, DMD
Oral and Maxillofacial Surgery (Dentist) in Fishersville, Virginia
NPI 1518174614

Corey C. Burgoyne is a Oral and Maxillofacial Surgery (Dentist) based in Fishersville, VA and is specialized in Oral and Maxillofacial Surgery. Corey C. Burgoyne practices in Fishersville, VA and has the professional credentials of DMD. The NPI Number for Corey C. Burgoyne is 1518174614 and holds a License No. 0401410961 (Virginia).

The current practice location address for Corey C. Burgoyne is 54 S Medical Park Dr, Fishersville, VA and can be reached out via phone at 540-886-2956 and via fax at 540-213-8748.

Location: 54 S Medical Park Dr, Fishersville, VA, 22939-2333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518174614
Provider Name
Corey C. Burgoyne
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
54 S Medical Park Dr, Fishersville, VA, 22939-2333
Phone Number
540-886-2956
Fax Number
540-213-8748
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
54 S Medical Park Dr
City
Fishersville
State
Virginia
Zip
22939-2333
Phone Number
540-886-2956
Fax Number
540-213-8748
person
Provider Business Mailing Address Details
Address
54 S Medical Park Dr
City
Fishersville
State
Virginia
Zip
22939-2333
Phone Number
540-886-2956
Fax Number
540-213-8748
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
0401410961 (Virginia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0401410961 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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