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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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