BETHESDA TMJ FACIAL PAIN TREATMENT LLC (NPI# 1982872644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982872644 |
| Entity Type | Organization |
| Organization Name | BETHESDA TMJ FACIAL PAIN TREATMENT LLC |
| Practice Address |
10215 Fernwood Rd #601 Bethesda MD 20817 |
| Mailing Address |
10215 Fernwood Road #601 Bethesda MD 20817 |
| Practice Telephone | 3018973350 |
| Mailing Telephone | 3018973350 |
| Mailing Fax Number | 3018975571 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |
| Authorized Official Name | FAITH K ANDERSON (OFFICE MANAGER) |
| Authorized Official Telephone | 3018973350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
7317 | MD | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
12705 | MD | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4590 | MD | Dental Providers |
| Street Address |
10215 FERNWOOD RD #601 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134560 | Christopher Cannova | Specialist | 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 | 2005-06-14 |
| 1154854545 | Susannah Lin Edwards | Dietitian, Registered | 10215 Fernwood Rd, Suite 630, Bethesda, MD 20817-1106 | 2017-04-04 |
| 1194273052 | Margarita E Matamoros | Social Worker | 10215 Fernwood Rd, Ste 630, Bethesda, MD 20817-1106 | 2016-09-20 |
| 1528419397 | Judith W Libert | Social Worker | 10215 Fernwood Rd, Suite 630, Bethesda, MD 20817-1106 | 2016-06-23 |
| 1295190759 | Bethesda Foot & Ankle Center | Podiatrist | 10215 Fernwood Rd, Suite 635, Bethesda, MD 20817-1106 | 2015-12-28 |
| 1205201035 | Calli Jean Van Dam | Nurse Practitioner | 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 | 2015-12-04 |
| 1992105050 | Rahat Sood | Dentist | 10215 Fernwood Rd, Suite 415, Bethesda, MD 20817-1106 | 2014-08-26 |
| 1841632650 | Michael Jay Tanenhaus | Dentist | 10215 Fernwood Rd, Suite 414, Bethesda, MD 20817-1106 | 2013-07-22 |
| 1396188579 | Center for Continence and Pelvic Support PC | Specialist | 10215 Fernwood Rd, Ste 300, Bethesda, MD 20817-1106 | 2013-04-08 |
| 1326383019 | Jessica L Murgueytio | Dietitian, Registered | 10215 Fernwood Rd, Ste 50, Bethesda, MD 20817-1106 | 2012-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063760486 | Rei Sekiguchi | Dentist | 9000 Rockville Pike Bldg 30, Bethesda, MD 20892-4370 | 2012-08-15 |
| 1245379619 | Richard John Green | Dentist | 6300 Democracy Blvd, Bethesda, MD 20817-1664 | 2007-02-05 |
| 1770638769 | Arnold F Binderman | Dentist | 10215 Fernwood Road #601, Bethesda, MD 20817 | 2007-01-23 |
| 1124116413 | Edward Alan Zupnik | Dentist | 8218 Wisconsin Avenue, Suite 203, Bethesda, MD 20814-3107 | 2006-10-11 |
| 1861583122 | Roy Lionel Eskow | Dentist | 5626 Shields Dr, Bethesda, MD 20817-3532 | 2006-09-28 |
| 1417064437 | Gregory Leonard Koontz | Dentist | 1801 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-08-24 |
| 1679821854 | Stephen Hutton | Dentist | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2012-08-21 |
| 1578707626 | Thomas Hart | Dentist | 10 Center Dr, Building 10; Room 5n-102, Bethesda, MD 20892-0001 | 2009-04-20 |
| 1932273489 | Douglas Dompkowski | Dentist | 5411 W Cedar Ln, Suite# 206-a, Bethesda, MD 20814-1516 | 2006-11-17 |
| 1346338639 | Charles Chung Kuang Chen | Dentist | 8218 Wisconsin Avenue, Suite 203, Bethesda, MD 20814-3107 | 2006-10-11 |
| Find all providers in BETHESDA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.