Provider Type Icon

TMJ DISORDERS OROFACIAL PAIN CENTER NPI 1912112194


NPI Information

NPI: 1912112194
Provider Name: TMJ DISORDERS OROFACIAL PAIN CENTER
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
850 N KOLB RD
TUCSON, AZ
ZIP 85710
Phone: (520) 298-9186
Get Directions

TMJ DISORDERS OROFACIAL PAIN CENTER is an oral maxillofacial surgery in Tucson, AZ. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. TMJ DISORDERS OROFACIAL PAIN CENTER NPI is 1912112194. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

850 N KOLB RD
TUCSON, AZ
ZIP 85710-333
Phone: (520) 298-9186
Fax: (520) 298-9608

The provider's authorized official is Luis A Cueva .
The authorized official title is President and has the following contact phone number (520) 298-9186.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 2/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial Surgery4543ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z75899MEDICARE ID-TYPE UNSPECIFIEDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.