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CHILDREN'S DENTAL CLINIC OF W. THOMAS RD.
NPI 1326025974
Dentist - General Practice in Phoenix, AZ

Active since December 26, 2005
5115 W THOMAS RD, PHOENIX, AZ 85031(602) 233-3133(602) 278-3139 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Children's Dental Clinic Of W. Thomas Rd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDREN'S DENTAL CLINIC OF W. THOMAS RD. (NPI 1326025974) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since December 2005. The organization lists Trudy Williams, Director, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1326025974
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHILDREN'S MEDICAID DENTAL CLINIC, PC
Location Address5115 W THOMAS RDPhoenix, AZ 85031-3944
Mailing Address201 W 8th St, Suite 810Pueblo, CO 81003-3038 · (719) 562-4447
Phone(602) 233-3133
Fax(602) 278-3139
Organization SubpartNo
Authorized OfficialTrudy WilliamsDirector, Licensing & Credentialing · (615) 750-0342
Enumeration DateDecember 26, 2005
Last NPPES UpdateMay 17, 2010
✔ NPI 1326025974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
5115 W THOMAS RD, Phoenix, AZ 85031
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Other Names 1

Doing Business AsChildren's Dental Clinic Of W. Thomas Rd.

Other Identifiers 1

Medicaid619661AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOLANDA M HERNANDEZ DDS
Dentist (General Practice)
5115 W THOMAS RD
PHOENIX, AZ 85031
Maricopa County (602) 233-3133
NAVREET KAUR BRAR DDS
Dentist (General Practice)
5115 W THOMAS RD
PHOENIX, AZ 85031
Maricopa County (602) 233-3133
KAREN LEUNG CHU DMD
Dentist (General Practice)
5115 W THOMAS RD
PHOENIX, AZ 85031
Maricopa County (602) 233-3133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Children's Medicaid Dental Clinic, PC's NPI number?

The NPI number for Children's Medicaid Dental Clinic, PC is 1326025974. It was assigned to this organization in the NPPES registry on December 26, 2005. The provider is doing business as Children's Dental Clinic Of W. Thomas Rd..

Where is Children's Medicaid Dental Clinic, PC located?

Children's Medicaid Dental Clinic, PC is located at 5115 W Thomas Rd, Phoenix, AZ 85031. The listed phone number is (602) 233-3133.

What is Children's Medicaid Dental Clinic, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Children's Medicaid Dental Clinic, PC was last updated on May 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.