IndividualActive
Grayson Burgardt, DDS
NPI 1326481995 · Periodontics · Peoria, AZ
Provider details
- NPI number
- 1326481995
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 28733 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
13260 N 94th Dr Ste 410
Peoria, AZ 85381-4241
Phone: (620) 260-5655
Approximate (ZIP-level) locationGet directions
Mailing address
6519 E Bluefield Ave
Phoenix, AZ 85054-6741
Registry dates
- Enumerated
- 2013-04-12
- Last updated
- 2020-06-16
- Certified
- 2020-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.