OrganizationActive
Legacy Dental Implant of Herndon
NPI 1053201384 · Periodontics · Herndon, VA
Legacy Dental Implant of Herndon is a Periodontics organization in Herndon, VA (NPI 1053201384).
Provider details
- NPI number
- 1053201384
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Abdelrouf Suwid, Owner(646) 824-3829
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
208 Elden St
Herndon, VA 20170-4877
Phone: (646) 824-3829
Street-level locationGet directions
Mailing address
208 Elden St
Herndon, VA 20170-4877
Registry dates
- Enumerated
- 2025-07-08
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Frequently asked questions
- What is Legacy Dental Implant of Herndon's NPI number?
- Legacy Dental Implant of Herndon's National Provider Identifier (NPI) is 1053201384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Dental Implant of Herndon?
- Legacy Dental Implant of Herndon is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Legacy Dental Implant of Herndon located?
- Legacy Dental Implant of Herndon's practice location on file with NPPES is 208 Elden St, Herndon, VA 20170-4877.
- What is Legacy Dental Implant of Herndon's phone number?
- The practice phone number listed in the NPPES registry for Legacy Dental Implant of Herndon is (646) 824-3829.
- Who is the authorized official for Legacy Dental Implant of Herndon?
- The authorized official listed on Legacy Dental Implant of Herndon's NPPES record is Abdelrouf Suwid, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Dental Implant of Herndon's NPI active?
- Yes — Legacy Dental Implant of Herndon's NPI (1053201384) is active in the NPPES registry as of the last update on 2025-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.