Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS L. LEGAN, D.D.S.
Active Sole ProprietorTHOMAS L. LEGAN, D.D.S. is a Periodontology healthcare provider located in CAPITOLA, California. NPI 1164643276 is currently active in the NPPES registry. Verify at CMS.
Periodontology · CAPITOLA, CA
Registration Details
- NPI Number
- 1164643276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2007 (19.326076368821 yrs)
- Last Updated
- Jul 8, 2007
- License
-
27021 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
614B CAPITOLA AVE.CAPITOLA, CA, 95010Browse CA providers · Browse ZIP 95010
- Phone
- 8314641600
- Fax
- 8314641712
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.