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

LEGACY DENTAL

Active Organization

LEGACY DENTAL is a General Dentistry organization located in IDAHO FALLS, Idaho. NPI 1841204609 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · IDAHO FALLS, ID

Registration Details

NPI Number
1841204609
Provider Type
Organization
NPI Issued
Jul 28, 2006 (20.045884200004 yrs)
Last Updated
Aug 22, 2020
License
D-3902 (ID)

Practice Information

Address
1685 PANCHERI DR
IDAHO FALLS, ID, 834023169
Browse ID providers · Browse ZIP 83402
Phone
2085230840
Fax
2085230921
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in IDAHO FALLS, ID

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.