Magic Smiles Dental Care

LBN: Pda Holdings, Llc
Magic Smiles Dental Care is an health care organization with primary practice located at 1701 E Thomas Rd #204 , Phoenix AZ 85016. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Pda Holdings, Llc can be contacted via phone (602) 253-6600, or through Trujillo, Amanda J via phone (602) 253-6600.

Contact Information

Primary practice address
1701 E Thomas Rd #204 Phoenix AZ 85016
Phone: (602) 253-6600
Fax: (602) 279-0821
Website:
Map and Directions
Authorized official contact:
Name: Trujillo, Amanda J
Phone: (602) 253-6600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1134345937
LBN Legal business name Pda Holdings, Llc
DBA Doing business as Magic Smiles Dental Care
Authorized official Trujillo, Amanda J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Feb 7th, 2023 - about last year

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 1134345937 NPPES
Arizona Other 232643 AHCCCS PROVIDER ID

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