Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEGACY DENTAL, P.C.
Active OrganizationLEGACY DENTAL, P.C. is a Oral and Maxillofacial Surgery Clinic organization located in DES MOINES, Iowa. NPI 1811283302 is currently active in the NPPES registry. Verify at CMS.
Oral and Maxillofacial Surgery Clinic · DES MOINES, IA
Registration Details
- NPI Number
- 1811283302
- Provider Type
- Organization
- NPI Issued
- Jun 22, 2011 (14.962840153249 yrs)
- Last Updated
- Nov 3, 2011
- License
-
7566 (IA)
Practice Information
- Address
-
4409 SW 9TH STDES MOINES, IA, 503153909Browse IA providers · Browse ZIP 50315
- Phone
- 5152858888
- Fax
- 5152877760
- Primary Specialty
-
Oral and Maxillofacial Surgery Clinic
261QS0112X
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.