Legacy Dental Implant

LBN: Legacy Dental Implant
Legacy Dental Implant is an health care organization with primary practice located at 3000 10Th St N , Arlington VA 22201-2162. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Periodontics is the primary health care specialty. Legacy Dental Implant can be contacted via phone (646) 824-3829, or through Matri, Ahmed via phone (646) 824-3829.

Contact Information

Primary practice address
3000 10Th St N Arlington VA 22201-2162
Phone: (646) 824-3829
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matri, Ahmed
Phone: (646) 824-3829

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1356186654
LBN Legal business name Legacy Dental Implant
DBA Doing business as
Authorized official Matri, Ahmed
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2024
Last updated Jun 27th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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