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General NPI Number Information
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NPI Number | 1255978763
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Entity Type | Organization
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Legal Business Name | VIRK TMJ PLLC
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1160 N KIMBALL AVE STE 110
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City | SOUTHLAKE
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State | TX
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Zip | 76092-5572
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Country | US
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Telephone | 817-251-9985
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 N KIMBALL AVE STE 110
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City | SOUTHLAKE
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State | TX
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Zip | 76092-5572
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Country | US
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Telephone | 817-251-9985
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMRITTEJ VIRK
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Credential | DDS
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Telephone | 817-251-9985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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