Organization · Type 2 NPI

Legacy Dental Implant of Herndon

Periodontics · Herndon, VA

NPI number 1053201384 Active

Practice location

208 Elden St
Herndon, VA 20170-4877

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1053201384

Legacy Dental Implant of Herndon's National Provider Identifier is 1053201384, issued on Jul 8, 2025. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Herndon, VA. The record was last updated on Jul 8, 2025.