BURGARDT AND DIAZ DENTAL GROUP, PLLC (NPI# 1972128858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972128858 |
| Entity Type | Organization |
| Organization Name | BURGARDT AND DIAZ DENTAL GROUP, PLLC |
| Practice Address |
13260 N 94th Dr Ste 410 Peoria AZ 85381-4241 |
| Mailing Address |
6519 E Bluefield Ave Phoenix AZ 85054-6741 |
| Practice Telephone | 6202605655 |
| Mailing Telephone | 6202605655 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | DR. GRAYSON JOHN BURGARDT (MEMBER, MANAGER, AND EMPLOYEE) |
| Authorized Official Telephone | 6202605655 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
13260 N 94TH DR STE 410 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326481995 | Grayson John Burgardt | Dentist | 13260 N 94th Dr Ste 410, Peoria, AZ 85381-4241 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780069997 | J Brent Sanders Dds PC | Dentist | 7505 W Deer Valley Rd Ste 130, Peoria, AZ 85382-2107 | 2015-07-29 |
| 1881750420 | Christopher Joseph Couri | Dentist | 1101 N North Street, Peoria, IL 61606-1918 | 2006-12-28 |
| 1689744484 | John R Francis | Dentist | 8671 W Union Hills Dr Ste 501, Peoria, AZ 85382-7005 | 2006-11-09 |
| 1538173216 | William E. Cusack | Dentist | 5013 N University St, Ste. 2, Peoria, IL 61614-4792 | 2006-07-28 |
| 1194745026 | Aziz Ali Bohra | Dentist | 13360 N 94th Dr, Suite C, Peoria, AZ 85381-4837 | 2006-07-21 |
| 1720282338 | Stephen Alan Folson | Dentist | 13260 N 94th Dr, Suite 410, Peoria, AZ 85381-4828 | 2007-06-14 |
| 1902019607 | Jeffrey Brent Sanders | Dentist | 7505 W. Deer Valley Rd., Suite 130, Peoria, AZ 85382 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582323 | Green Valley Dental Specialties | Dentist | 101 S La Canada Dr Ste 54, Green Valley, AZ 85614-2664 | 2019-11-13 |
| 1235697939 | Leslie I. Davis, Bds, Dds, PC | Dentist | 13802 W Camino Del Sol Ste 103, Sun City West, AZ 85375-4486 | 2019-03-12 |
| 1427522788 | Arizona Center for Oral Health Pllc | Dentist | 5900 N Granite Reef Rd Ste 103, Scottsdale, AZ 85250-6281 | 2019-01-18 |
| 1962973347 | Pete N Mellas Dmd Ms Pllc | Dentist | 4910 E Greenway Rd Ste 2, Scottsdale, AZ 85254-1653 | 2018-12-11 |
| 1376019075 | East Valley Implant & Periodontal Center | Dentist | 3048 E Baseline Rd Ste 112, Mesa, AZ 85204-7287 | 2018-10-19 |
| 1386095511 | Katie Martin | Dentist | 13065 W Mcdowell Rd Ste A101, Avondale, AZ 85392 | 2016-06-29 |
| 1457719114 | Mountain Park Dentistry L.L.C. | Dentist | 15215 S 48th St Ste 175, Phoenix, AZ 85044-9140 | 2016-02-09 |
| 1679986301 | Leslie Darnell | Dentist | 7425 E Shea Blvd Ste 110, Scottsdale, AZ 85260-6411 | 2014-06-10 |
| 1235486507 | Clark Mackelprang | Dentist | 2330 N Rosemont Blvd Unit A, Tucson, AZ 85712-2159 | 2012-08-06 |
| 1518232701 | Niels Jensen | Dentist | 6755 E Superstition Springs Blvd Ste 102, Mesa, AZ 85206-4375 | 2012-03-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.