Organization · Type 2 NPI
Legacy Dental, P.c.
Oral and Maxillofacial Surgery Clinic/Center · Des Moines, IA
NPI number
1811283302
Active
Practice location
4409 SW 9th St
Des Moines, IA 50315-3909
Fax (515) 287-7760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 7566 (IA) |
Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
About NPI 1811283302
Legacy Dental, P.c.'s National Provider Identifier is 1811283302, issued on Jun 22, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Des Moines, IA. The record was last updated on Nov 3, 2011.