| Tmj Orofacial Disorders Center | |
|
2111 N Northgate Way Ste 221 Seattle WA 98133-9018 | |
| (206) 363-8240 | |
| (206) 363-8301 |
| Full Name | Tmj Orofacial Disorders Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2111 N Northgate Way, Seattle, Washington |
| Authorized Official Name and Position | Jason P Pehling (PRESIDENT) |
| Authorized Official Contact | 2063638240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmj Orofacial Disorders Center 2111 N Northgate Way Ste 221 Seattle WA 98133 Ph: (206) 363-8240 | Tmj Orofacial Disorders Center 2111 N Northgate Way Ste 221 Seattle WA 98133-9018 Ph: (206) 363-8240 |
| NPI Number | 1376598847 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376598847 | NPI | - | NPPES |
| 93200 | Other | WA | REGENCE |
| 47570 | Other | WA | PREMERA DENTAL |
| SB930 | Other | WA | PREMERA MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008992 (Washington) | Primary |
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