# PDA HOLDCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PDA HOLDINGS
- **Other names:** Magic Smiles Dental Care, Magic Smiles Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821369455
- **Legal business name:** PDA HOLDINGS
- **Authorized official:** DANIEL MORRISSEY (PRESIDENT)
- **Authorized official phone:** (602) 253-6600

## Contact information

- **Practice address:** 1457 W SOUTHERN AVE STE 18, MESA, AZ 85202-4853
- **Practice address phone:** (480) 610-2300
- **Practice address fax:** (480) 833-0682
- **Mailing address:** 1701 E THOMAS RD, SUITE \#204, PHOENIX, AZ 85016-7646
- **Mailing address phone:** (602) 253-6600
- **Mailing address fax:** (602) 279-0821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D5504 | AZ | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2012
- **Last updated:** 02/07/2023