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General NPI Number Information
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NPI Number | 1740335793
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Entity Type | Organization
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Legal Business Name | TMJ MANAGEMENT SERVICES INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10215 FERNWOOD ROAD #601
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City | BETHESDA
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State | MD
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Zip | 20817
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Country | US
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Telephone | 301-897-3350
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Fax | 301-897-3350
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Provider Business Mailing Address
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Address Line | 10215 FERNWOOD ROAD #601
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City | BETHESDA
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State | MD
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Zip | 20817
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Country | US
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Telephone | 301-897-3350
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Fax | 301-897-5571
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. FAITH K ANDERSON
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Credential |
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Telephone | 301-897-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 3481
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 4590
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 7317
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 12705
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 12115
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License Number State |
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