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BURGARDT AND DIAZ DENTAL GROUP, PLLC
NPI 1972128858
Dentist - Periodontics in Peoria, AZ

Active since June 16, 2020
13260 N 94TH DR STE 410, PEORIA, AZ 85381(620) 260-5655 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2020, Jun 16, 2020 (2 updates tracked since 2020).

About Burgardt And Diaz Dental Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURGARDT AND DIAZ DENTAL GROUP, PLLC (NPI 1972128858) is a healthcare organization registered as a periodontics in Peoria, Arizona and active in the NPI registry since June 2020. The organization lists Grayson John Burgardt, Member, Manager, And Employee, as its authorized official.

NPPES Registry Identity

NPI1972128858
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBURGARDT AND DIAZ DENTAL GROUP, PLLC
Location Address13260 N 94TH DR STE 410Peoria, AZ 85381-4241
Mailing Address6519 E Bluefield AvePhoenix, AZ 85054-6741 · (620) 260-5655
Phone(620) 260-5655
Organization SubpartNo
Authorized OfficialGrayson John BurgardtMember, Manager, And Employee · (620) 260-5655
Enumeration DateJune 16, 2020
Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1972128858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

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.

13260 N 94TH DR STE 410, Peoria, AZ 85381
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GRAYSON JOHN BURGARDT DDS
Dentist (Periodontics)
13260 N 94TH DR STE 410
PEORIA, AZ 85381
Maricopa County (620) 260-5655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burgardt And Diaz Dental Group, PLLC's NPI number?

The NPI number for Burgardt And Diaz Dental Group, PLLC is 1972128858. It was assigned to this organization in the NPPES registry on June 16, 2020.

Where is Burgardt And Diaz Dental Group, PLLC located?

Burgardt And Diaz Dental Group, PLLC is located at 13260 N 94th Dr Ste 410, Peoria, AZ 85381. The listed phone number is (620) 260-5655.

What is Burgardt And Diaz Dental Group, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Burgardt And Diaz Dental Group, PLLC was last updated on July 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.