| Organization Name: | TMJ THERAPY, INC |
| NPI Number: | 1033407150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARL K MCMILLAN (PRESIDENT) |
| Mailing Address: | 355 E 50 S American Fork |
| State: | UT US |
| Postal Code: | 840033837 |
| Phone Number: | 8017560900 |
| Fax Number: | 8017567290 |
| NPI Enumeration Date: | 07/11/2011 |
| NPI Last Update Date: | 06/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 142879-9922 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |