Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEGACY DENTAL LLC
Active OrganizationLEGACY DENTAL LLC is a General Dentistry organization located in FORT WAYNE, Indiana. NPI 1083704019 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORT WAYNE, IN
Registration Details
- NPI Number
- 1083704019
- Provider Type
- Organization
- NPI Issued
- Oct 13, 2006 (19.655714899785 yrs)
- Last Updated
- Aug 17, 2020
- Licenses
-
12008943 (IN)12009422 (IN)12010440 (IN)
Practice Information
- Address
-
7215 ENGLE RD.FORT WAYNE, IN, 46804Browse IN providers · Browse ZIP 46804
- Phone
- 2604341133
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
Other General Dentistry Organizations in FORT WAYNE, IN
| Name | NPI |
|---|---|
| WAYNE YOUTH DENTISTRY, LLC | 1356399182 |
| YODER/RAHRIG FAMILY DENTISTRY | 1538189063 |
| FAMILY DENTISTRY & AESTHETIC INC | 1457462590 |
| CHARLES H MIDDLETON DDS PC | 1215024989 |
| SUMMIT DENTAL GROUP PC | 1720175979 |
| GARY R. PULFER DDS, PC | 1467549600 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.