Legacy Dental Implant of Herndon
Legacy Dental Implant of Herndon is a Periodontics in Herndon, Virginia. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
208 Elden StHerndon, VA 20170-4877
Phone: (646) 824-3829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
|---|
Record details
| NPI number | 1053201384 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abdelrouf Suwid — Owner · (646) 824-3829 |
| NPI enumerated | July 8, 2025 |
| Last updated in NPPES | July 8, 2025 |
| Certification date | July 8, 2025 |
| Mailing address | 208 Elden St, Herndon, VA 20170-4877 |
Other providers in Herndon
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Dr. Vivek Doppalapudi, DDSMSDMSC
102 Elden St Ste 19, Herndon, VA 20170-4868 · (703) 464-0900
-
Alfonso Luis Patron, DDS
505 Huntmar Park Dr Ste 150, Herndon, VA 20170-5139 · (703) 736-0900
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Vivek Doppalapudi DDS MS PC
102 Elden St Ste 19, Herndon, VA 20170-4868 · (703) 464-0900