# BURGARDT FAMILY DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962712810
- **Authorized official:** DR. MICHAEL BURGARDT D.D.S. (CEO)
- **Authorized official phone:** (231) 843-9810

## Contact information

- **Practice address:** 410 E LUDINGTON AVE, LUDINGTON, MI 49431-2123
- **Practice address phone:** (231) 843-9810
- **Mailing address:** 410 E LUDINGTON AVE, LUDINGTON, MI 49431-2123
- **Mailing address phone:** (231) 843-9810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901020039 | MI | Yes |

## Other

- **Enumeration date:** 10/13/2010
- **Last updated:** 08/18/2014