| Legacy West Dental, Pllc | |
|
6847 Communications Pkwy Ste 720 Plano TX 75024-6151 | |
| (469) 530-4168 | |
| Not Available |
| Full Name | Legacy West Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6847 Communications Pkwy Ste 720, Plano, Texas |
| Authorized Official Name and Position | Jerit T Davis (MANAGER/OWNER) |
| Authorized Official Contact | 4695304168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy West Dental, Pllc 6847 Communications Pkwy Ste 720 Plano TX 75024-6151 Ph: (469) 530-4168 | Legacy West Dental, Pllc 6847 Communications Pkwy Ste 720 Plano TX 75024-6151 Ph: (469) 530-4168 |
| NPI Number | 1750936001 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 08/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750936001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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