Legacy Dental Group Pllc

LBN: Legacy Dental Group Pllc
Legacy Dental Group Pllc is an health care organization with primary practice located at 9951 Mickelberry Rd Nw Suite #215, Silverdale WA 98383-8309. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Legacy Dental Group Pllc can be contacted via phone (360) 692-9701, or through Kerr, Brian V via phone (253) 584-6200.

Contact Information

Primary practice address
9951 Mickelberry Rd Nw Suite #215 Silverdale WA 98383-8309
Phone: (360) 692-9701
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kerr, Brian V Doctor of Dental Medicine (DMD)
Phone: (253) 584-6200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1922359744
LBN Legal business name Legacy Dental Group Pllc
DBA Doing business as
Authorized official Kerr, Brian V Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2012
Last updated Sep 20th, 2012 - about 12 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