Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Dental Associates

Organization General Practice Dentistry · NPI 1639030307

Legacy Dental Associates is a General Practice Dentistry in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2440 Gaynor Ave NW
Grand Rapids, MI 49544-1830
Phone: (616) 784-8444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1639030307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jakob Lee — Dentist · (616) 558-7928
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address2716 Sterner St Nw, Grand Rapids, MI 49504-8100

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