Legacy Dental Group

LBN: Legacy Dental Group
Legacy Dental Group is an health care organization with primary practice located at 3901 E Covell , Edmond OK 73034. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Legacy Dental Group can be contacted via phone (405) 513-6630, or through Dussault, Ashley via phone (405) 513-6630.

Contact Information

Primary practice address
3901 E Covell Edmond OK 73034
Phone: (405) 513-6630
Fax: (405) 359-9647
Website:
Map and Directions
Authorized official contact:
Name: Dussault, Ashley
Phone: (405) 513-6630

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X OK4913 Oklahoma
Dental Providers / Dentist 122300000X OK6256 Oklahoma

Profile Details

NPI number 1831587575
LBN Legal business name Legacy Dental Group
DBA Doing business as
Authorized official Dussault, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2015
Last updated Jan 7th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers