ELDEN FAMILY DENTAL – NPI #1962787853
Clinic/Center

ELDEN FAMILY DENTAL is an AHC clinic located in HERNDON, VA. NPPES has assigned the NPI number 1962787853 to ELDEN FAMILY DENTAL on October 11, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELDEN FAMILY DENTAL” is a dba name, the actual legal business name for this organization is HERNDON FAMILY DENTAL PLLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on Jul 13, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELDEN FAMILY DENTAL below.

NPI Profile for
HERNDON FAMILY DENTAL PLLC

NPI Number
1962787853
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HERNDON FAMILY DENTAL PLLC
Doing Business As (dba): ELDEN FAMILY DENTAL
Primary location
131 ELDEN ST STE 100
HERNDON, VA 20170
Phone: (703) 657-0000 Fax: (703) 657-0958
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BABAK MEER
PRESIDENT
Phone: (703) 657-0000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
VA 0401412049

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.