HERU WIREDJA,DDS,INC
NPI 1659783918
Dentist in Maywood, CA

Q: What is Heru Wiredja,dds,inc's NPI number?

The NPI number for Heru Wiredja,dds,inc is 1659783918. It was assigned to this organization in the NPPES registry on May 21, 2014.

Q: What is Heru Wiredja,dds,inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 21, 2014

6100 ATLANTIC BLVD, SUITE I, MAYWOOD, CA 90270(323) 771-7551(323) 771-7881 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Heru Wiredja,dds,inc NPPES

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

HERU WIREDJA,DDS,INC (NPI 1659783918) is a healthcare organization registered as a dentist in Maywood, California and active in the NPI registry since May 2014. The organization lists Heru Wiredja, President, as its authorized official.

NPPES Registry Identity

NPI1659783918

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameHERU WIREDJA,DDS,INC

Location Address6100 ATLANTIC BLVD, SUITE IMaywood, CA 90270-3131

Mailing Address6100 Atlantic Blvd, Suite IMaywood, CA 90270-3131 · (323) 771-7551 · Fax (323) 771-7881

Phone(323) 771-7551

Fax(323) 771-7881

Organization SubpartNo

Authorized OfficialHeru WiredjaPresident · (323) 771-7551

Enumeration DateMay 21, 2014

✔ NPI 1659783918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 33408

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

6100 ATLANTIC BLVD, Maywood, CA 90270

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Other Identifiers 1

Other33408-01CA · Medical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Heru Wiredja,dds,inc's NPI number?

The NPI number for Heru Wiredja,dds,inc is 1659783918. It was assigned to this organization in the NPPES registry on May 21, 2014.

Where is Heru Wiredja,dds,inc located?

Heru Wiredja,dds,inc is located at 6100 Atlantic Blvd Suite I, Maywood, CA 90270. The listed phone number is (323) 771-7551.

What is Heru Wiredja,dds,inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Heru Wiredja,dds,inc was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.