MEDICARE: VIRK TMJ PLLC

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	1223X2210X	Orofacial Pain Dentistry

General Provider Information

NPI Number	:	1760204085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRK TMJ PLLC

Provider Business Mailing Address
First Line	:	9925 GILLESPIE DR STE 3100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1096
Country	:	US
Telephone Number	:	623-980-2315
Fax Number	:

Provider Business Practice Location Address
First Line	:	9925 GILLESPIE DR STE 3100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1096
Country	:	US
Telephone Number	:	623-980-2315
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMRITTEJ SINGH VIRK
Credential	:
Telephone Number	:	623-980-2315

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	10/28/2024

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Directions to “VIRK TMJ PLLC ” Practice Location

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