Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Azusa Kuwashima

Individual provider Orofacial Pain Dentistry · NPI 1801567441

Dr. Azusa Kuwashima is a Dentist in Southlake, Texas. Qualified in 2019, 7 years ago. Practices with Virk Tmj PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2021

Practice location Address checks out

630 N Kimball Ave Ste 110
Southlake, TX 76092-6887
Phone: (817) 251-9985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orofacial Pain Dentistry (primary) Taxonomy 1223X2210X · Licence 37400 (TX)

Record details

NPI number1801567441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Virk Tmj Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southlake