The Studio - TMJ & Maxillofacial Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

THE STUDIO - TMJ & MAXILLOFACIAL SURGERY, PLLC

Practice address

100 Elden St Ste 16
Herndon, VA 20170-4841

Phone

(210) 542-1267

NPI assigned

Dec 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leonel Perez Jr., DDS, MD, FACSNPI 1669638185

Title

Owner / Managing Member

Phone

(210) 542-1267

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonel Perez Jr., D.D.S, M.D., F.A.C.S

  • Oral and Maxillofacial Surgery Clinic/Center
  • Annandale, VA
  • NPI 1669638185
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1336002740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "20872",
            "telephone_number": "210-542-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELDEN ST STE 16",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704841",
            "telephone_number": "210-542-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STUDIO - TMJ & MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "210-542-1267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, MD, FACS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery Clinic/Center in Herndon, VA
• Providers in Herndon, VA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.