Individual provider · Type 1 NPI
Thomas L. Legan, DDS
Periodontics · Capitola, CA
NPI number
1164643276
Active
Practice location
614B Capitola Ave.
Capitola, CA 95010
Fax (831) 464-1712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 27021 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1164643276
Thomas L. Legan, DDS's National Provider Identifier is 1164643276, issued on May 2, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Capitola, CA. The record was last updated on Jul 8, 2007.