DR. Grayson John Burgardt, DDS

NPI #1326481995 in Peoria, Arizona

Provider Information

NPI Number: 1326481995
Entity Type: Individual
Name: DR. Grayson John Burgardt, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Apr 12, 2013
Last Updated: Jun 16, 2020

Practice Location

Address: 13260 N 94TH DR STE 410
City: Peoria
State: Arizona
ZIP Code: 85381-4241
Phone: (620) 260-5655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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