| Legacy Drive Dental | |
|
5800 Legacy Dr Ste C8 Plano TX 75024-7101 | |
| (469) 368-0101 | |
| Not Available |
| Full Name | Legacy Drive Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5800 Legacy Dr Ste C8, Plano, Texas |
| Authorized Official Name and Position | Heartland Dental (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Drive Dental 5800 Legacy Dr Ste C8 Plano TX 75024-7101 Ph: (469) 368-0101 | Legacy Drive Dental 5800 Legacy Dr Ste C8 Plano TX 75024-7101 Ph: (469) 368-0101 |
| NPI Number | 1790391423 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 04/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790391423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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