Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Burgardt and Diaz Dental Group, PLLC

Organization Periodontics · NPI 1972128858

Burgardt and Diaz Dental Group, PLLC is a Periodontics in Peoria, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13260 N 94th Dr Ste 410
Peoria, AZ 85381-4241
Phone: (620) 260-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1972128858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grayson Burgardt — Member, Manager, And Employee · (620) 260-5655
NPI enumeratedJune 16, 2020
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020
Mailing address6519 E Bluefield Ave, Phoenix, AZ 85054-6741

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