Children's Medicaid Dental Clinic, Pc is a Dental Clinic in Phoenix, Arizona. It is located at 5115 W Thomas Rd, Phoenix, AZ and its contact number is 602-233-3133. The authorized person for Children's Medicaid Dental Clinic, Pc is Ms. Trudy Williams
who is Director, Licensing & Credentialing of the clinic and their contact number is 615-750-0342.
Children's Medicaid Dental Clinic, Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Children's Medicaid Dental Clinic, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Children's Medicaid Dental Clinic, Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 5115 W Thomas Rd, Phoenix,
Arizona, 85031-3944 |
| Phone: | 602-233-3133 |
| Fax: | 602-278-3139 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Trudy Williams |
| Position: | Director, Licensing & Credentialing |
| Contact Number: | 615-750-0342 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Children's Medicaid Dental Clinic, Pc clinic are as mentioned below.
| NPI Number: | 1326025974 |
| NPI Enumeration Date: | 26 Dec, 2005 |
| NPI Last Update On: | 17 May, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Children's Medicaid Dental Clinic, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 619661 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Children's Medicaid Dental Clinic, Pc
201 W 8th St, Suite 810
Pueblo, Colorado |
| Zip: | 81003-3038 |
| Phone Number: | 719-562-4447 |
| Fax Number: | -- |
Patients can reach Children's Medicaid Dental Clinic, Pc at
5115 W Thomas Rd, Phoenix, Arizona or can
call to book an appointment on 602-233-3133.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.