Children'S Dental Clinic Of W. Thomas Rd.

LBN: Children'S Medicaid Dental Clinic, Pc
Children'S Dental Clinic Of W. Thomas Rd. is an health care organization with primary practice located at 5115 W Thomas Rd , Phoenix AZ 85031-3944. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Children'S Medicaid Dental Clinic, Pc can be contacted via phone (602) 233-3133, or through Williams, Trudy via phone (615) 750-0342.

Contact Information

Primary practice address
5115 W Thomas Rd Phoenix AZ 85031-3944
Phone: (602) 233-3133
Fax: (602) 278-3139
Website:
Map and Directions
Authorized official contact:
Name: Williams, Trudy
Phone: (615) 750-0342

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1326025974
LBN Legal business name Children'S Medicaid Dental Clinic, Pc
DBA Doing business as Children'S Dental Clinic Of W. Thomas Rd.
Authorized official Williams, Trudy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2005
Last updated May 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326025974 NPPES
Arizona MEDICAID 619661

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