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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 Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

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

NPI # 1336002740
LBN Legal business name THE STUDIO - TMJ & MAXILLOFACIAL SURGERY, PLLC
Authorized official LEONEL PEREZ - (OWNER / MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2025
Last updated 02/23/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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