| Legacy Dental | |
|
800 1st Ave Sw Austin MN 55912-2507 | |
| (507) 437-8208 | |
| Not Available |
| Full Name | Legacy Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 800 1st Ave Sw, Austin, Minnesota |
| Authorized Official Name and Position | Alexander Nguyen (OWNER) |
| Authorized Official Contact | 5074378208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental 1722 Canary Dr Albert Lea MN 56007-1314 Ph: (763) 447-1673 | Legacy Dental 800 1st Ave Sw Austin MN 55912-2507 Ph: (507) 437-8208 |
| NPI Number | 1700525078 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 08/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700525078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Swift, Elrod And Green Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 1st Ave Sw, Austin, MN 55912 Phone: 507-437-8208 | |
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Drs Elrod Green Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 1st Ave Sw, Austin, MN 55912 Phone: 507-437-8208 Fax: 507-433-7348 |