PDA HOLDINGS WEST, LLC
NPI 1760188098
Clinic/Center - Dental in Phoenix, AZ

Q: What is Pda Holdings West, LLC's NPI number?

The NPI number for Pda Holdings West, LLC is 1760188098. It was assigned to this organization in the NPPES registry on February 7, 2023. The provider is doing business as Magic Smiles Dental Care.

Q: What is Pda Holdings West, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since February 07, 2023

5109 W THOMAS RD STE 300, PHOENIX, AZ 85031(602) 472-3553(602) 687-9844 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Pda Holdings West, Llc NPPES

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

PDA HOLDINGS WEST, LLC (NPI 1760188098), doing business as Magic Smiles Dental Care, is a healthcare organization registered as a dental in Phoenix, Arizona and active in the NPI registry since February 2023. The organization lists Jeramy Tarwater, President, as its authorized official.

NPPES Registry Identity

NPI1760188098

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePDA HOLDINGS WEST, LLC

Location Address5109 W THOMAS RD STE 300Phoenix, AZ 85031-3944

Mailing Address5109 W Thomas Rd Ste 300Phoenix, AZ 85031-3944 · (602) 472-3553 · Fax (602) 687-9844

Phone(602) 472-3553

Fax(602) 687-9844

Organization SubpartNo

Authorized OfficialJeramy TarwaterPresident · (602) 253-6600

Enumeration DateFebruary 7, 2023

NPPES CertifiedFebruary 7, 2023

✔ NPI 1760188098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

5109 W THOMAS RD STE 300, Phoenix, AZ 85031

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Other Names 1

Doing Business AsMagic Smiles Dental Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

AZ FAMILY AND KIDS DENTAL NORTH LLC

Dentist

5109 W THOMAS RD STE 300
PHOENIX, AZ 85031

Maricopa County (928) 970-2723

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 Pda Holdings West, LLC's NPI number?

The NPI number for Pda Holdings West, LLC is 1760188098. It was assigned to this organization in the NPPES registry on February 7, 2023. The provider is doing business as Magic Smiles Dental Care.

Where is Pda Holdings West, LLC located?

Pda Holdings West, LLC is located at 5109 W Thomas Rd Ste 300, Phoenix, AZ 85031. The listed phone number is (602) 472-3553.

What is Pda Holdings West, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Pda Holdings West, LLC accept?

Health plans from Ambetter from Arizona Complete Health and DentaQuest Insurance Company, Inc. list Pda Holdings West, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pda Holdings West, LLC was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.