OrganizationActive
Burgardt and Diaz Dental Group, PLLC
NPI 1972128858 · Periodontics · Peoria, AZ
Provider details
- NPI number
- 1972128858
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Grayson Burgardt, Member, Manager, and Employee(620) 260-5655
Specialties & taxonomies
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
- 2020-06-16
- Last updated
- 2020-07-01
- Certified
- 2020-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.