Pda Holdings, Llc is a Pediatric Dental Clinic in Phoenix, Arizona. It is located at 1701 E Thomas Rd #204, Phoenix, AZ and its contact number is 602-253-6600. The authorized person for Pda Holdings, Llc is Amanda J Trujillo
who is Credentialing Manager of the clinic and their contact number is 602-253-6600.
Pda Holdings, Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pda Holdings, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pda Holdings, Llc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1701 E Thomas Rd #204, Phoenix,
Arizona, 85016 |
| Phone: | 602-253-6600 |
| Fax: | 602-279-0821 |
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: | Amanda J Trujillo |
| Position: | Credentialing Manager |
| Contact Number: | 602-253-6600 |
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 Pda Holdings, Llc clinic are as mentioned below.
| NPI Number: | 1134345937 |
| NPI Enumeration Date: | 18 Apr, 2007 |
| NPI Last Update On: | 07 Feb, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pda Holdings, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | | | Primary | |
| Pediatric Dentistry | | | Secondary | |
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 |
| 232643 | Other | Arizona | Ahcccs Provider Id |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pda Holdings, Llc
1701 E Thomas Rd Ste 204,
Phoenix, Arizona |
| Zip: | 85016-7675 |
| Phone Number: | 602-253-6600 |
| Fax Number: | 602-279-0821 |
Patients can reach Pda Holdings, Llc at
1701 E Thomas Rd #204, Phoenix, Arizona or can
call to book an appointment on 602-253-6600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.