Legacy Dental, P.C.

LBN: Legacy Dental, P.C.
Legacy Dental, P.C. is an health care organization with primary practice located at 4409 Sw 9Th St , Des Moines IA 50315-3909. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Legacy Dental, P.C. can be contacted via phone (515) 285-8888, or through Purk, Jeffrey Wayne via phone (515) 285-8888.

Contact Information

Primary practice address
4409 Sw 9Th St Des Moines IA 50315-3909
Phone: (515) 285-8888
Fax: (515) 287-7760
Website:
Map and Directions
Authorized official contact:
Name: Purk, Jeffrey Wayne Doctor of Dental Surgery (DDS)
Phone: (515) 285-8888

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X 7566 Iowa

Profile Details

NPI number 1811283302
LBN Legal business name Legacy Dental, P.C.
DBA Doing business as
Authorized official Purk, Jeffrey Wayne Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2011
Last updated Nov 3rd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811283302 NPPES
Iowa MEDICAID 1083827117

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