CHILDREN'S MEDICAID DENTAL CLINIC, PC is a general practice dentist in Phoenix, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHILDREN'S MEDICAID DENTAL CLINIC, PC NPI is 1326025974. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children's Dental Clinic Of W. Thomas Rd..
The provider's business location address is:
5115 W THOMAS RD
PHOENIX, AZ
ZIP 85031-944
Phone: (602) 233-3133
Fax: (602) 278-3139
The provider's authorized official is Trudy Williams .
The authorized official title is Director, Licensing & Credentialing and has the following contact phone number (615) 750-0342.
The CLIA number assigned to this NPI record is 06D0967615 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/26/2005 and was last updated on 5/17/2010.