Legacy Dental
Legacy Dental is a General Practice Dentistry in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
1685 Pancheri DrIdaho Falls, ID 83402-3169
Phone: (208) 523-0840
Fax: (208) 523-0921
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D-3902 (ID) |
|---|
Record details
| NPI number | 1841204609 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Oliver Thuernagle — Dentist · (208) 523-0840 |
| NPI enumerated | July 28, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4935 Jupiter Hills Dr, Idaho Falls, ID 83401-6344 |
Other providers in Idaho Falls
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Dr. Ryan T Kidman, DDS
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-
Kistler Dental PLLC
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Dr. William Kenneth Klingler, DMD
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-
Mr. Steven J. Larsen, FAGDDDS
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-
Lewis Dental Services
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Esther B. Machen, DDS
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-
Machen Family Dentistry PC
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Dr. Todd L Matheson, DMD
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