Organization · Type 2 NPI

Legacy Dental Group, PLLC

Dentist · Houston, TX

NPI number 1730646571 Active

Practice location

4910 Willowbend Blvd Ste C
Houston, TX 77035-3227

Call (713) 729-1813 Map

Mailing address

15660 Dallas Pkwy Ste 950
Dallas, TX 75248-3309

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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NPI record

NPI: 1730646571
Entity type: Organization (Type 2)
Issued: Feb 28, 2019
Last updated: Jan 28, 2026
Status: Active

Other names

<unavail>
Legacy Dental Group · doing business as
Legacy Dental Group · doing business as

Authorized official

Amanda Lightfoot
Authorized Representative
(214) 702-0708

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730646571

Legacy Dental Group, PLLC's National Provider Identifier is 1730646571, issued on Feb 28, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Houston, TX. The record was last updated on Jan 28, 2026.