Organization · Type 2 NPI

Legacy Dental

General Practice Dentistry · Idaho Falls, ID

NPI number 1841204609 Active

Practice location

1685 Pancheri Dr
Idaho Falls, ID 83402-3169

Call (208) 523-0840 Map

Fax (208) 523-0921

Mailing address

4935 Jupiter Hills Dr
Idaho Falls, ID 83401-6344

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD-3902 (ID)

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 1841204609

Legacy Dental's National Provider Identifier is 1841204609, issued on Jul 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 22, 2020.