TOOTH CLUB FOR KIDS PCH PLLC NPI 1053144576

NPI Information

  • NPI: 1053144576
  • Provider Name: TOOTH CLUB FOR KIDS PCH PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1701 E THOMAS RD STE 204
    PHOENIX, AZ
    ZIP 85016
  • Phone: (602) 253-6600

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NPI Details

TOOTH CLUB FOR KIDS PCH PLLC is a dental clinic center in Phoenix, AZ. TOOTH CLUB FOR KIDS PCH PLLC NPI is 1053144576. The provider is registered as an organization entity type.

The provider's business location address is:

1701 E THOMAS RD STE 204
PHOENIX, AZ
ZIP 85016-675
Phone: (602) 253-6600

The provider's authorized official is Kimberlie Stubbs .
The authorized official title is Office Manager and has the following contact phone number (602) 843-1275.

The enumeration date for this NPI number is 8/21/2024 and was last updated on 8/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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