| Legacy Mint Dentistry | |
|
280 Legacy Dr Ste 105 Plano TX 75023-2314 | |
| (214) 821-6468 | |
| Not Available |
| Full Name | Legacy Mint Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 280 Legacy Dr Ste 105, Plano, Texas |
| Authorized Official Name and Position | Field Harrison (CEO) |
| Authorized Official Contact | 2148216468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Mint Dentistry 3201 W Airport Fwy Ste 102 Irving TX 75062-5928 Ph: () - | Legacy Mint Dentistry 280 Legacy Dr Ste 105 Plano TX 75023-2314 Ph: (214) 821-6468 |
| NPI Number | 1760965511 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 09/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760965511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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