Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PDA HOLDCO, LLC
Active
Organization
PDA HOLDCO, LLC
Active
Parent organization
PDA HOLDINGS
Other names
Magic Smiles Dental Care, Magic Smiles Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
PDA HOLDINGS
Authorized official
DANIEL MORRISSEY (PRESIDENT)
(602) 253-6600
Entity
Organization
Contact information
Practice address
1457 W SOUTHERN AVE STE 18, MESA, AZ 85202-4853
(480) 610-2300
(480) 833-0682
Mailing address
1701 E THOMAS RD, SUITE #204, PHOENIX, AZ 85016-7646
(602) 253-6600
(602) 279-0821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D5504
AZ
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/12/2012
Last updated
02/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers