TMJ & Facial Pain Management, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN14629 Issued in FL

Legal business name

TMJ & FACIAL PAIN MANAGEMENT, P.A.

Practice address

2929 Lakeland Highlands Rd
Suite a-2
Lakeland, FL 33803-4371

Phone

(863) 802-9200

Fax

(863) 802-9252

NPI assigned

Feb 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Arthur William Moore III, D.M.D.

Title

President

Phone

(863) 802-9200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639213671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 LAKELAND HIGHLANDS RD",
            "address_2": "SUITE A-2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034371",
            "telephone_number": "863-802-9200",
            "fax_number": "863-802-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 LAKELAND HIGHLANDS RD",
            "address_2": "SUITE A-2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034371",
            "telephone_number": "863-802-9200",
            "fax_number": "863-802-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ & FACIAL PAIN MANAGEMENT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-802-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.