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MR. DAVID HEREDIA ORAL SURGERY ASST
NPI 1063645703
Dental Assistant in San Bernardino, CA

Active since August 28, 2009
1432 N G ST APT 4, SAN BERNARDINO, CA 92405(909) 663-7331 Get Directions Write a Review

NPPES record last updated: August 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Heredia Oral Surgery Asst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID HEREDIA ORAL SURGERY ASST (NPI 1063645703) is an individual dental assistant in San Bernardino, California and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1063645703
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameMR. DAVID HEREDIACredential: ORAL SURGERY ASST
Location Address1432 N G ST APT 4San Bernardino, CA 92405-4342
Mailing Address1432 N G St Apt 4San Bernardino, CA 92405-4342 · (909) 663-7331
Phone(909) 663-7331
Sole ProprietorNo
Enumeration DateAugust 28, 2009
✔ NPI 1063645703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
1432 N G ST APT 4, San Bernardino, CA 92405
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Heredia's NPI number?

The NPI number for David Heredia is 1063645703. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Where is David Heredia located?

David Heredia practices at 1432 N G St Apt 4, San Bernardino, CA 92405. The listed phone number is (909) 663-7331.

What is David Heredia's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for David Heredia was last updated on August 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.