Organization · Type 2 NPI

Legacy Dental Associates

General Practice Dentistry · Grand Rapids, MI

NPI number 1639030307 Active

Practice location

2440 Gaynor Ave NW
Grand Rapids, MI 49544-1830

Call (616) 784-8444 Map

Mailing address

2716 Sterner St NW
Grand Rapids, MI 49504-8100

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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 1639030307

Legacy Dental Associates's National Provider Identifier is 1639030307, issued on Nov 20, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 20, 2025.