Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Children's Medicaid Dental Clinic, PC

Organization General Practice Dentistry · NPI 1326025974

Children's Medicaid Dental Clinic, PC provides General Practice Dentistry in Phoenix, Arizona. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5115 W Thomas Rd
Phoenix, AZ 85031-3944 Not confirmed with CMS for 16 years — call before visiting
Phone: (602) 233-3133
Fax: (602) 278-3139
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1326025974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trudy Williams — Director, Licensing & Credentialing · (615) 750-0342
Other names Children'S Dental Clinic Of W. Thomas Rd.
NPI enumeratedDecember 26, 2005
Last updated in NPPESMay 17, 2010
Mailing address201 W 8th St, Suite 810, Pueblo, CO 81003-3038

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