BURGARDT AND DIAZ DENTAL GROUP PLLC NPI 1972128858

NPI Information

  • NPI: 1972128858
  • Provider Name: BURGARDT AND DIAZ DENTAL GROUP, PLLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 13260 N 94TH DR STE 410
    PEORIA, AZ
    ZIP 85381
  • Phone: (620) 260-5655

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NPI Details

BURGARDT AND DIAZ DENTAL GROUP, PLLC is a periodontics dentist in Peoria, AZ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. BURGARDT AND DIAZ DENTAL GROUP, PLLC NPI is 1972128858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13260 N 94TH DR STE 410
PEORIA, AZ
ZIP 85381-241
Phone: (620) 260-5655

The provider's authorized official is Grayson John Burgardt .
The authorized official title is Member, Manager, And Employee and has the following contact phone number (620) 260-5655.

The enumeration date for this NPI number is 6/16/2020 and was last updated on 7/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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