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MAGIC SMILES DENTAL
NPI 1821369455
Clinic/Center - Dental in Mesa, AZ

Active since January 12, 2012
1457 W SOUTHERN AVE STE 18, MESA, AZ 85202(480) 610-2300(480) 833-0682 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magic Smiles Dental NPPES

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

MAGIC SMILES DENTAL (NPI 1821369455) is a healthcare organization registered as a dental in Mesa, Arizona and active in the NPI registry since January 2012. The organization lists Daniel Morrissey, President, as its authorized official.

NPPES Registry Identity

NPI1821369455
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDA HOLDCO, LLC
Location Address1457 W SOUTHERN AVE STE 18Mesa, AZ 85202-4853
Mailing Address1701 E Thomas Rd, Suite #204Phoenix, AZ 85016-7646 · (602) 253-6600 · Fax (602) 279-0821
Phone(480) 610-2300
Fax(480) 833-0682
Organization SubpartYesParent: Pda Holdings
Authorized OfficialDaniel MorrisseyPresident · (602) 253-6600
Enumeration DateJanuary 12, 2012
Last NPPES UpdateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1821369455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X · License D5504 (AZ)
1457 W SOUTHERN AVE STE 18, Mesa, AZ 85202
Open in Google Maps ↗

Other Names 2

Doing Business AsMagic Smiles Dental
Doing Business AsMagic Smiles Dental Care

Other Identifiers 1

Medicaid670703AZ

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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.

SCOTTSDALE PEDIATRIC DENTISTRY
Dentist
1457 W SOUTHERN AVE STE 18
MESA, AZ 85202
Maricopa County (480) 645-9988

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, LLC's NPI number?

The NPI number for Pda Holdco, LLC is 1821369455. It was assigned to this organization in the NPPES registry on January 12, 2012. The provider is doing business as Magic Smiles Dental and Magic Smiles Dental Care.

Where is Pda Holdco, LLC located?

Pda Holdco, LLC is located at 1457 W Southern Ave Ste 18, Mesa, AZ 85202. The listed phone number is (480) 610-2300.

What is Pda Holdco, 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, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Pda Holdco, 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, 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.