MEDICARE: TMJ OF ARIZONA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2928	AZ

General Provider Information

NPI Number	:	1376815779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMJ OF ARIZONA LLC

Provider Business Mailing Address
First Line	:	13821 N 35TH DR
Second Line	:	STE 1
City	:	PHOENIX
State	:	AZ
Zip	:	85053-5541
Country	:	US
Telephone Number	:	602-866-1429
Fax Number	:	602-866-1437

Provider Business Practice Location Address
First Line	:	13821 N 35TH DR
Second Line	:	STE 1
City	:	PHOENIX
State	:	AZ
Zip	:	85053-5541
Country	:	US
Telephone Number	:	602-866-1429
Fax Number	:	602-866-1437

Authorized Official
Title or Position	:	MEMBER
Name	:	GARY J CORE
Credential	:	DDS
Telephone Number	:	602-866-1429

Provider Enumeration Date	:	01/31/2012
Last Update Date	:	06/18/2014

Similar Medicare Providers

1437613825 — C AND E DENTAL PROFESSIONALS PLLC
Practice Location Address:

13821 N 35TH DR STE 2
PHOENIX, AZ
85053-5541

Practice Phone: 602-882-0676
Practice Fax: 602-547-3438

1306862255 — RM ALLIANCE FAMILY HEALTH CTR INC
Practice Location Address:

13821 N 35TH DR STE 1
PHOENIX, AZ
85053-5541

Practice Phone: 602-866-2843
Practice Fax: 602-866-2847

1811039712 — R.M. ALLIANCE FAMILY HEALTH CENTER
Practice Location Address:

13821 N 35TH DR STE 1
PHOENIX, AZ
85053-5541

Practice Phone: 602-866-2843
Practice Fax: 602-866-2847

1215156799 — DR. GARY J CORE DDS
Practice Location Address:

13821 N 35TH DR STE 1
PHOENIX, AZ
85053-5541

Practice Phone: 602-866-1429
Practice Fax: 602-866-1437

1437364809 — KENNETH EUGENE HOLLAND, JR., DDS, MS, PLLC
Practice Location Address:

13821 N 35TH DR , SUITE 1
PHOENIX, AZ
85053-5541

Practice Phone: 928-710-4974
Practice Fax:

1144531393 — PHOENIX ENDODONTIC CENTER LLC
Practice Location Address:

13821 N 35TH DR STE 2
PHOENIX, AZ
85053-5541

Practice Phone: 602-375-8063
Practice Fax: 602-863-3412

Directions to “TMJ OF ARIZONA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.