| Starimage Tmj & Sleep Center PLLC | |
|
1480 Corporate Cir Ste 100 Southlake TX 76092-5963 | |
| (325) 272-0204 | |
| Not Available |
| Full Name | Starimage Tmj & Sleep Center PLLC |
|---|---|
| Speciality | Dentist |
| Location | 1480 Corporate Cir Ste 100, Southlake, Texas |
| Authorized Official Name and Position | James Green (OWNER) |
| Authorized Official Contact | 3252720204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starimage Tmj & Sleep Center PLLC 1480 Corporate Cir Ste 100 Southlake TX 76092-5963 Ph: (325) 272-0204 | Starimage Tmj & Sleep Center PLLC 1480 Corporate Cir Ste 100 Southlake TX 76092-5963 Ph: (325) 272-0204 |
| NPI Number | 1568331957 |
|---|---|
| Provider Enumeration Date | 11/03/2025 |
| Last Update Date | 05/21/2026 |
| Certification Date | 05/21/2026 |
| Medicare PECOS PAC ID | 4880177211 |
|---|---|
| Medicare Enrollment ID | O20260312003950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568331957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Secondary |
| Provider Name | James R Green |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316066723 PECOS PAC ID: 9739668237 Enrollment ID: I20260312003959 |
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