Organization · Type 2 NPI

Heritage Oral Surgery and Implant Centers

Oral and Maxillofacial Surgery (Dentist) · Canoga Park, CA

NPI number 1366346173 Active

Practice location

22142 Sherman Way Ste 201
Canoga Park, CA 91303-1136

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Another provider at this address

About NPI 1366346173

Heritage Oral Surgery and Implant Centers's National Provider Identifier is 1366346173, issued on Oct 5, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Canoga Park, CA. The record was last updated on Oct 5, 2026.