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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.