| Legacy Dental | |
|
1405 W Moore Ave Terrell TX 75160-2303 | |
| (972) 563-8383 | |
| Not Available |
| Full Name | Legacy Dental |
|---|---|
| Speciality | Dentist |
| Location | 1405 W Moore Ave, Terrell, Texas |
| Authorized Official Name and Position | Michael G. Heffelfinger (DENTIST) |
| Authorized Official Contact | 9725638383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental 1405 W Moore Ave Terrell TX 75160-2303 Ph: (972) 563-8383 | Legacy Dental 1405 W Moore Ave Terrell TX 75160-2303 Ph: (972) 563-8383 |
| NPI Number | 1376838136 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376838136 | NPI | - | NPPES |
| 2821993 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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