Dr. Mauricio Jose Herrera
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4805 Lake Brook Drive Suite 150
Glen Allen
, Virginia 23060-9278
Dr. Mauricio Jose Herrera
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4805 Lake Brook Drive Suite 150
Glen Allen
, Virginia 23060-9278
(804) 673-5644
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mauricio Jose Herrera
- 11545 A Nuckois Road
- Glen Allen, VA
- Zip : 23059-5666
- Fax : (804) 673-5644
- Phone : (804) 673-8061
Second Address
- Dr. Mauricio Jose Herrera
- 4805 Lake Brook Drive Suite 150
- Glen Allen, VA
- Zip : 23060-9278
- Fax : (804) 270-4873
- Phone : (042) 704-8708
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 0401413331 | VA |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 0401413331 | VA |
National Provider Identifier
| NPI | 1275797086 |
|---|---|
| Provider Name | Dr. Mauricio Jose Herrera |
| First Address | Glen Allen, VA 23059-5666 |
| Second Address | Glen Allen, VA 23060-9278 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2008 |
| Last Update Date | 22/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.