Burgardt, Grayson John
Burgardt, Grayson John is an individual health care provider with primary practice located at 13260 N 94Th Dr Ste 410 , Peoria AZ 85381-4241. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Burgardt, Grayson John can be contacted via phone (620) 260-5655.Contact Information
Primary practice address
13260 N 94Th Dr Ste 410
Peoria AZ 85381-4241
Phone: (620) 260-5655
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 28733 | Texas |
Dental Providers / Periodontics | 1223P0300X | D010692 | Arizona |
Profile Details
NPI number | 1326481995 |
---|---|
LBN Legal business name | Burgardt, Grayson John |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 12th, 2013 |
Last updated | Jun 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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