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

Legacy Dental Care LLC

Organization General Practice Dentistry · NPI 1336683036

Legacy Dental Care LLC is a General Practice Dentistry in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12265 Central Ave NE
Blaine, MN 55434-3961
Phone: (763) 757-1323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8455 (MN)

Record details

NPI number1336683036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Parvey — Dentist · (763) 757-1323
NPI enumeratedDecember 14, 2016
Last updated in NPPESDecember 14, 2016
Mailing address12265 Central Ave Ne, Blaine, MN 55434-3961

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