Organization · Type 2 NPI
Legacy Dental Group, PLLC
Dental Clinic/Center · Chattanooga, TN
NPI number
1649174038
Active
Practice location
4109 Mountain View Ave Ste 300
Chattanooga, TN 37415-2096
Mailing address
135 Twin Oaks Ct
Dayton, TN 37321-5979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1649174038
Legacy Dental Group, PLLC's National Provider Identifier is 1649174038, issued on Oct 7, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chattanooga, TN. The record was last updated on Oct 7, 2026.