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KIDS DENTAL CENTER
NPI 1811449671
Clinic/Center - Dental in Chandler, AZ

Active since October 27, 2016
2900 W RAY RD STE 2, CHANDLER, AZ 85224(480) 782-5437(480) 857-7888 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2023, Jan 24, 2017, Dec 20, 2016 and 1 more (4 updates tracked since 2016).

About Kids Dental Center NPPES

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

KIDS DENTAL CENTER (NPI 1811449671) is a healthcare organization registered as a dental in Chandler, Arizona and active in the NPI registry since October 2016. The organization lists Jeramy Tarwater, President, as its authorized official.

NPPES Registry Identity

NPI1811449671
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDA HOLDCO CHANDLER LLC
Location Address2900 W RAY RD STE 2Chandler, AZ 85224-7342
Mailing Address2900 W Ray Rd Ste 2Chandler, AZ 85224-7342 · (480) 782-5437 · Fax (480) 857-7888
Phone(480) 782-5437
Fax(480) 857-7888
Organization SubpartNo
Authorized OfficialJeramy TarwaterPresident · (602) 253-6600
Enumeration DateOctober 27, 2016
Last NPPES UpdateFebruary 7, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1811449671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X · License 8502 (AZ)
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
2900 W RAY RD STE 2, Chandler, AZ 85224
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Other Names 1

Doing Business AsKids Dental Center

Other Identifiers 1

Medicaid226988AZ

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company, Inc..Insurance ›

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 Holdco Chandler LLC's NPI number?

The NPI number for Pda Holdco Chandler LLC is 1811449671. It was assigned to this organization in the NPPES registry on October 27, 2016. The provider is doing business as Kids Dental Center.

Where is Pda Holdco Chandler LLC located?

Pda Holdco Chandler LLC is located at 2900 W Ray Rd Ste 2, Chandler, AZ 85224. The listed phone number is (480) 782-5437.

What is Pda Holdco Chandler LLC's specialty?

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

What insurance does Pda Holdco Chandler LLC accept?

Health plans from DentaQuest Insurance Company, Inc. list Pda Holdco Chandler 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 Holdco Chandler 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.