| Legendary Dental Pllc | |
|
1809 21st St Harlan IA 51537-1828 | |
| (712) 340-0333 | |
| Not Available |
| Full Name | Legendary Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1809 21st St, Harlan, Iowa |
| Authorized Official Name and Position | Logan Travis Veath (DENTIST/OWNER) |
| Authorized Official Contact | 7123400333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legendary Dental Pllc 1809 21st St Harlan IA 51537-1828 Ph: (712) 340-0333 | Legendary Dental Pllc 1809 21st St Harlan IA 51537-1828 Ph: (712) 340-0333 |
| NPI Number | 1114490778 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 01/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114490778 | NPI | - | NPPES |
| 1366821183 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
White Pine Dental Group Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2105 Pine St, Harlan, IA 51537 Phone: 712-755-5342 Fax: 712-755-5666 | |
Morningview Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1116 Morningview Dr., Harlan, IA 51537 Phone: 712-755-5342 Fax: 712-755-5666 | |
Cornerstone Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 Chatburn Plz, Harlan, IA 51537 Phone: 319-471-4031 | |
Markham Family Dental Associates, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2105 Pine St, Harlan, IA 51537 Phone: 712-755-5342 Fax: 712-755-5666 |