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HERU WIREDJA DDS
NPI 1962532267
Dentist - General Practice in Maywood, CA

Active since March 06, 2007
6100 ATLANTIC BLVD STE I, MAYWOOD, CA 90270(323) 771-7551 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heru Wiredja Dds NPPES

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

HERU WIREDJA DDS (NPI 1962532267) is an individual general practice provider in Maywood, California, licensed in California (B33408-01) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1962532267
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameHERU WIREDJACredential: DDS
Location Address6100 ATLANTIC BLVD STE IMaywood, CA 90270-3184
Mailing Address6100 Atlantic Blvd Ste IMaywood, CA 90270-3184 · (323) 771-7551
Phone(323) 771-7551
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962532267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · B33408-01
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6100 ATLANTIC BLVD STE I, Maywood, CA 90270
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAMITA DORA WIREDJA DDA
Dentist
6100 ATLANTIC BLVD STE I
MAYWOOD, CA 90270
Los Angeles County (323) 771-7551

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's NPI number?

The NPI number for Heru Wiredja is 1962532267. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Heru Wiredja located?

Heru Wiredja practices at 6100 Atlantic Blvd Ste I, Maywood, CA 90270. The listed phone number is (323) 771-7551.

What is Heru Wiredja's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Heru Wiredja accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Heru Wiredja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heru Wiredja was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.