DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEGACY DENTAL GROUP

Active Organization

Non-Pharmacy Dispensing Site · GLENDALE, AZ

Registration Details

NPI Number
1215953161
Provider Type
Organization
NPI Issued
Jul 14, 2006 (19.779955484727 yrs)
Last Updated
Aug 22, 2020
License
D4729 (AZ)

Practice Information

Address
18205 N 51ST AVE STE 101
GLENDALE, AZ, 853081491
Browse AZ providers · Browse ZIP 85308
Phone
6029934200
Fax
6029934222
Primary Specialty
Non-Pharmacy Dispensing Site
332900000X

Other Non-Pharmacy Dispensing Site Organizations in GLENDALE, AZ

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.