Kids Dental Center
LBN: Pda Holdco Chandler Llc
Kids Dental Center is an health care organization with primary practice located at 2900 W Ray Rd Ste 2 , Chandler AZ 85224-7342. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Pda Holdco Chandler Llc can be contacted via phone (480) 782-5437, or through Tarwater, Jeramy via phone (602) 253-6600.
Contact Information
Primary practice address
2900 W Ray Rd Ste 2
Chandler AZ 85224-7342
Phone: (480) 782-5437
Fax: (480) 857-7888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8502 | Arizona |
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1811449671 |
|---|---|
| LBN Legal business name | Pda Holdco Chandler Llc |
| DBA Doing business as | Kids Dental Center |
| Authorized official | Tarwater, Jeramy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Feb 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811449671 | NPPES |
| Arizona | MEDICAID | 226988 |
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