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Tmj and Facial Pain Center,llc

NPI 1922476571ActiveOrganization· Dentist· Jonesboro, AR

Dentist in Jonesboro, Arkansas, registered in NPPES in September 2015. The authorized official on file is Heather Bond Southard, DDS, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1922476571
StatusActive
Entity typeOrganization
NPI issuedSep 11, 2015
Last updated in NPPESDec 20, 2023
Certified by providerDec 20, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X3469AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AR)

Medicare sources and data years

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