Legacy Dental P.C.

LBN: Legacy Dental P.C.
Legacy Dental P.C. is an health care organization with primary practice located at 17602 Wright St Suite 105, Omaha NE 68130-2097. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Legacy Dental P.C. can be contacted via phone (402) 393-1108, or through Brigden, Phillip Tracy via phone (402) 393-1108.

Contact Information

Primary practice address
17602 Wright St Suite 105 Omaha NE 68130-2097
Phone: (402) 393-1108
Fax: (402) 393-1184
Website:
Map and Directions
Authorized official contact:
Name: Brigden, Phillip Tracy Doctor of Dental Surgery (DDS)
Phone: (402) 393-1108

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5969 Nebraska

Profile Details

NPI number 1720144967
LBN Legal business name Legacy Dental P.C.
DBA Doing business as
Authorized official Brigden, Phillip Tracy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

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