| Legacy Dental Group | |
|
3901 E Covell Edmond OK 73034 | |
| (405) 513-6630 | |
| (405) 359-9647 |
| Full Name | Legacy Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3901 E Covell, Edmond, Oklahoma |
| Authorized Official Name and Position | Ashley Dussault (OFFICE MANAGER) |
| Authorized Official Contact | 4055136630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental Group 3901 E Covell Edmond OK 73034 Ph: (405) 513-6630 | Legacy Dental Group 3901 E Covell Edmond OK 73034 Ph: (405) 513-6630 |
| NPI Number | 1831587575 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831587575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | OK4913 (Oklahoma) | Primary |
| 122300000X | Dentist | OK6256 (Oklahoma) | Secondary |
Cross Timbers Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3152 S Broadway, Edmond, OK 73013 Phone: 405-696-4168 | |
Scissortail Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 E 10th Street Plz, Edmond, OK 73034 Phone: 405-348-5100 | |
Gentle Dental Homestead Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 N Santa Fe Ave Ste 105, Edmond, OK 73003 Phone: 405-285-7557 Fax: 405-285-7130 | |
Hetrick & Holloman Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 E 10th Street Plz, Edmond, OK 73034 Phone: 405-341-7046 | |
Redbud Dental Edmond, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18001 N Western Ave Ste 106, Edmond, OK 73012 Phone: 405-447-6453 | |
Martha L Garzon Dmd, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 S Kelly Ave Ste C1, Edmond, OK 73003 Phone: 405-348-5757 Fax: 405-348-8221 | |
James E. Farley, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 E 10th Street Plz, Edmond, OK 73034 Phone: 405-348-5100 |