Provider Demographics
NPI:1073798138
Name:ROZIER, ANTHONY ERNEST JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:ERNEST
Last Name:ROZIER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:341 PONCE DE LEON AVE NE
Mailing Address - Street 2:ORAL HEALTH CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2012
Mailing Address - Country:US
Mailing Address - Phone:404-616-9772
Mailing Address - Fax:404-616-9745
Practice Address - Street 1:341 PONCE DE LEON AVE NE
Practice Address - Street 2:ORAL HEALTH CENTER
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2012
Practice Address - Country:US
Practice Address - Phone:404-616-9772
Practice Address - Fax:404-616-9745
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN011495122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist