OrganizationActive
Children'S Medicaid Dental Clinic, PC
NPI 1326025974 · General Practice Dentistry · Phoenix, AZ
Children'S Medicaid Dental Clinic, PC is a General Practice Dentistry organization in Phoenix, AZ (NPI 1326025974).
Provider details
- NPI number
- 1326025974
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Trudy Williams, Director, Licensing & Credentialing(615) 750-0342
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5115 W Thomas Rd
Phoenix, AZ 85031-3944
Phone: (602) 233-3133
Fax: (602) 278-3139
Street-level locationGet directions
Mailing address
201 W 8th St
Pueblo, CO 81003-3038
Other names (DBA / former)
- Doing business as
- Children'S Dental Clinic of W. Thomas Rd.
Registry dates
- Enumerated
- 2005-12-26
- Last updated
- 2010-05-17
Frequently asked questions
- What is Children'S Medicaid Dental Clinic, PC's NPI number?
- Children'S Medicaid Dental Clinic, PC's National Provider Identifier (NPI) is 1326025974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Children'S Medicaid Dental Clinic, PC?
- Children'S Medicaid Dental Clinic, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Children'S Medicaid Dental Clinic, PC located?
- Children'S Medicaid Dental Clinic, PC's practice location on file with NPPES is 5115 W Thomas Rd, Phoenix, AZ 85031-3944.
- What is Children'S Medicaid Dental Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Children'S Medicaid Dental Clinic, PC is (602) 233-3133.
- Who is the authorized official for Children'S Medicaid Dental Clinic, PC?
- The authorized official listed on Children'S Medicaid Dental Clinic, PC's NPPES record is Trudy Williams, Director, Licensing & Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Children'S Medicaid Dental Clinic, PC's NPI active?
- Yes — Children'S Medicaid Dental Clinic, PC's NPI (1326025974) is active in the NPPES registry as of the last update on 2010-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.