Organization · Type 2 NPI
Legacy Dental LLC
General Practice Dentistry · Fort Wayne, IN
NPI number
1083704019
Active
Practice location
7215 Engle Rd.
Fort Wayne, IN 46804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 12008943 (IN) |
| General Practice Dentistry | 1223G0001X | 12009422 (IN) |
| General Practice Dentistry Primary | 1223G0001X | 12010440 (IN) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1083704019
Legacy Dental LLC's National Provider Identifier is 1083704019, issued on Oct 13, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 17, 2020.