Pda Holdings, Llc in Phoenix - Pediatric Dentistry
Pda Holdings, Llc - NPI 1134345937
Pda Holdings, Llc is a Pediatric Dentistry in Phoenix, Arizona. Pda Holdings, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pda Holdings, Llc is 1134345937. The last update date is 2023-02-07.
Pda Holdings, Llc's current location address is 1701 E Thomas Rd Ste 204, Phoenix, Arizona. You can contact this provider via phone number 6022536600 and fax number 6022790821. The mailing address for Pda Holdings, Llc is 1701 E Thomas Rd Ste 204, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pda Holdings, Llc |
|---|---|
| Address | 1701 E Thomas Rd Ste 204, Phoenix, Arizona |
| Phone Number | 6022536600 |
| Fax Number | 6022790821 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Trujillo J Amanda |
| Telephone Number | 6022536600 |
NPI Number Detail
| NPI Number | 1134345937 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2023-02-07 |
Provider Mailing Address Detail
| Address | 1701 E Thomas Rd Ste 204 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850167675 |
| Phone Number | 6022536600 |
| Fax Number | 6022790821 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 232643 | AZ | AHCCCS PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pda Holdings, Llc by the Centers for Medicare & Medicaid Services?
The Pda Holdings, Llc has been issued the NPI (National Provider Identifier) 1134345937, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pda Holdings, Llc is located?
The Pda Holdings, Llc is situated at the following address: 1701 E Thomas Rd Ste 204, Phoenix, AZ, 850167675.
What is Pda Holdings, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pda Holdings, Llc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134345937 to Pda Holdings, Llc?
The Centers for Medicare & Medicaid Services assigned the 1134345937 to Pda Holdings, Llc on 2007-04-18.
As of what date were the details related to Pda Holdings, Llc most recently updated or revised?
The information pertaining to Pda Holdings, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-07.