DR. MAURICIO JOSE HERRERA


Address: 4805 Lake Brook Drive Suite 150, Glen Allen, VA 23060-9278
Phone: 0427048708

DR. MAURICIO JOSE HERRERA (NPI# 1275797086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275797086
Entity Type Individual
Full Name DR. MAURICIO JOSE HERRERA
Other Name MAURICIO J. HERRERA
Credential DDS
Practice Address 4805 Lake Brook Drive Suite 150
Glen Allen
VA 23060-9278
Mailing Address 11545 A Nuckois Road
Glen Allen
VA 23059-5666
Practice Telephone 0427048708
Practice Fax Number 8042704873
Mailing Telephone 8046738061
Mailing Fax Number 8046735644
Enumeration Date 2008-07-11
Last Update Date 2020-01-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
0401413331 VA Dental Providers
Y 204E00000X Oral & Maxillofacial Surgery 0401413331 VA Allopathic & Osteopathic Physicians

Other Providers MAURICIO HERRERA

NPI Name Taxonomy Address Enumeration
1306844303 Mauricio Fernando Herrera Orthopaedic Surgery 11801 Sw 90th St, Suite 201, Miami, FL 33186-2182 2005-07-13

Office Location

Street Address 4805 LAKE BROOK DRIVE SUITE 150
City GLEN ALLEN
State VA
Zip Code 23060-9278

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205469715 Romy Sharieff Midwife 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 2020-02-13
1366934549 Guillermo Del Campo Optometrist 4114 Innslake Drive, Glen Allen, VA 23060 2018-06-04
1871013771 Wecare Medical Transportation Inc. Driver 10524 Boscastle Rd, Glen Allen, VA 23060 2017-06-21
1265889570 Darchelle Braxton Dmd PC Dentist 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 2016-05-17
1952714842 Gaynier Orthodontics PC Clinic/Center 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 2014-06-09
1538507819 Rca Laboratory Services, LLC Clinical Medical Laboratory 4060 Innslake Dr, Glen Allen, VA 23060 2013-06-10
1922352772 Samantha S Stone Physical Therapist 4101 Cox Rd Ste 100, Glen Allen, VA 23060 2012-11-01
1609123660 Stephanie Rene Matsko Optometrist 4114 Innslake Dr., Glen Allen, VA 23060 2012-08-09
1851661367 Lateaka Sheri Vinson Speech-Language Pathologist 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 2012-01-01
1568774271 Cynthia A Koza Optometrist 4600 Cox Road, Suite 120, Glen Allen, VA 23060 2010-07-10
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205450319 Kipley Powell Oral & Maxillofacial Surgery Vcuhs Dept of Oral&maxillofacial Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 2020-06-04
1235499328 Daniel Brett Bostock Oral & Maxillofacial Surgery 2843 Hartland Rd Ste 150, Falls Church, VA 22043-3543 2012-05-22
1003131731 Philip J. Pandolfi, Dmd, Pllc Oral & Maxillofacial Surgery 2105 Evelyn Byrd Ave, Harrisonburg, VA 22801-5431 2010-04-06
1851424675 James Hs Whitney Dds PC Oral & Maxillofacial Surgery 2071 Pro Pointe Ln., Harrisonburg, VA 22801 2007-03-13
1164591970 Craig Ernest Vigliante Oral & Maxillofacial Surgery 19440 Golf Vista Plaza, Ste 130, Leesburg, VA 20176 2006-11-07
1679548010 Gene Allen Vandervort Jr. Oral & Maxillofacial Surgery 44340 Premier Plaza, Suite 100, Ashburn, VA 20147-5074 2006-02-21
1437144789 James H Priest Oral & Maxillofacial Surgery 420 Hamilton Blvd, South Boston, VA 24592-5200 2005-09-13
1831624618 Christopher Loschiavo Oral & Maxillofacial Surgery 1250 E Marshall St, Box 980566, Richmond, VA 23298-5051 2017-04-28
1063711208 Sarah Elizabeth Snow Summers Oral & Maxillofacial Surgery 244 Hydraulic Ridge Rd, Charlottesville, VA 22901-8124 2011-03-25
1588867113 Viriginia Oral Facial & Implant Surgery Oral & Maxillofacial Surgery 7601 Lewinsville Rd, Suite 203, Mclean, VA 22102-2814 2007-06-10
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Competitor

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City GLEN ALLEN
Zip Code 23060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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