PDA HOLDINGS


Address: 1701 E Thomas Rd #204, Phoenix, AZ 85016
Phone: 6022536600

PDA HOLDINGS (NPI# 1134345937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134345937
Entity Type Organization
Organization Name PDA HOLDINGS
Other Organization Name MAGIC SMILES DENTAL CARE
Practice Address 1701 E Thomas Rd #204
Phoenix
AZ 85016
Practice Telephone 6022536600
Practice Fax Number 6022790821
Mailing Telephone 6022536600
Mailing Fax Number 6022790821
Enumeration Date 2007-04-18
Last Update Date 2015-05-12
Authorized Official Name DANIEL MORRISSEY (PRESIDENT)
Authorized Official Telephone 6022536600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS PROVIDER ID 232643 01

Other Provider/Organization Names

Other Name Type Code
Magic Smiles Dental Care Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations PDA HOLDINGS, LLC #68, 1328 Broadway, Ste. 1024, New York, Ny 10001

Office Location

Street Address 1701 E THOMAS RD #204
City PHOENIX
State AZ
Zip Code 85016

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
Find all providers in zip 85016

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881206274 Totally Kids Dental P.C. Dentist 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 2020-08-18
1861989121 Logan Mariano Dentist 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 2018-04-21
1972023372 David Jourabchi Dentist 4550 E Bell Rd Ste 106, Phoenix, AZ 85032-9342 2017-06-27
1730639840 Steven Petruzzi Dds Pllc Dentist 34406 N 27th Dr Ste 106, Phoenix, AZ 85085-7730 2016-10-12
1124401146 Jennifer Canada Dentist 6725 N 35th Ave # 105, Phoenix, AZ 85017-1083 2015-07-08
1548654791 Arlene Kewallal Dentist 1935 W Happy Valley Rd, Phoenix, AZ 85085-2884 2015-03-25
1134400880 Norterra Pediatric Dental Partners, LLP Dentist 2217 W Happy Valley Rd Ste 100, Phoenix, AZ 85085-1604 2011-09-07
1558689703 Hamed Rezakhan Dentist 4803 E Ray Rd, Suit P002c, Phoenix, AZ 85044-6496 2010-05-12
1417110750 Shreekrishna Chaitanya Akilesh Dentist 10550 W Mariposa St, Phoenix, AZ 85037-5081 2008-07-07
1902936677 William J. Heimann Dentist 1526 W Glendale Ave Ste 103, Phoenix, AZ 85021-8576 2007-03-06
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Competitor

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City PHOENIX
Zip Code 85016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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