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

Legacy Dental Group

Organization Dentist · NPI 1831587575

Legacy Dental Group is a Dentist in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3901 E Covell
Edmond, OK 73034
Phone: (405) 513-6630
Fax: (405) 359-9647
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence OK4913 (OK)
Dentist Taxonomy 122300000X · Licence OK6256 (OK)

Record details

NPI number1831587575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Dussault — Office Manager · (405) 513-6630
NPI enumeratedJanuary 5, 2015
Last updated in NPPESJanuary 7, 2015
Mailing address3901 E Covell, Edmond, OK 73034

Other providers in Edmond