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

Legacy Dental LLC

Organization General Practice Dentistry · NPI 1083704019

Legacy Dental LLC is a General Practice Dentistry in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
3
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

7215 Engle Rd
Fort Wayne, IN 46804
Phone: (260) 434-1133
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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 12010440 (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12008943 (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12009422 (IN)

Record details

NPI number1083704019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Bojrab — Ceo · (260) 434-1133
Other names Ueber & Friederich Dentistry
NPI enumeratedOctober 13, 2006
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address7215 Engle Rd., Fort Wayne, IN 46804

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