National Provider Identifier Database

THE STUDIO TMJ MAXILLOFACIAL SURGERY PLLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

THE STUDIO - TMJ & MAXILLOFACIAL SURGERY, PLLC
100 ELDEN ST STE 16
HERNDON, VA20170-4841
Phone: 210-542-1267
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for THE STUDIO - TMJ & MAXILLOFACIAL SURGERY, PLLC

NPI Number 1336002740
Legal business name
LBN
THE STUDIO - TMJ & MAXILLOFACIAL SURGERY, PLLC
Authorized official LEONEL PEREZ - (OWNER / MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 12/03/2025
Last updated 02/23/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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