Organization
TMJ THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL K MCMILLAN D.D.S. (PRESIDENT)
(801) 756-0900
Entity
Organization
Contact information
Practice address
355 E 50 S, AMERICAN FORK, UT 84003-3837
(801) 756-0900
(801) 756-7290
Mailing address
355 E 50 S, AMERICAN FORK, UT 84003-3837
(801) 756-0900
(801) 756-7290
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
142879-9922
UT
332BC3200X
Customized Equipment (DME)
142879-9922
UT
Other
Enumeration date
07/11/2011
Last updated
06/01/2015
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