| Legacy Dental | |
|
2200 Boca Chica Blvd #138 Brownsville TX 78521-2212 | |
| (956) 986-2222 | |
| (956) 986-2223 |
| Full Name | Legacy Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2200 Boca Chica Blvd, Brownsville, Texas |
| Authorized Official Name and Position | Joseph W Clements (OFFICE MANAGER) |
| Authorized Official Contact | 9569862222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental 2200 Boca Chica Blvd #138 Brownsville TX 78521-2212 Ph: (956) 986-2222 | Legacy Dental 2200 Boca Chica Blvd #138 Brownsville TX 78521-2212 Ph: (956) 986-2222 |
| NPI Number | 1336523364 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336523364 | NPI | - | NPPES |
| 193080207 | Medicaid | TX | |
| 1700047271 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24025 (Texas) | Primary |
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