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

Legacy Dental LLC

Organization Dental Clinic/Center · NPI 1215332754

Legacy Dental LLC is a Dental Clinic/Center in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2014.

Licensed in
NM
In the registry since
2014
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

4520 Lowr Terrace Cir NE
Albuquerque, NM 87111-2503
Phone: (505) 299-4431
Fax: (505) 291-0265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DD3103 (NM)

Record details

NPI number1215332754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stewart Anderson — Owner/Dentist · (505) 299-4431
NPI enumeratedOctober 27, 2014
Last updated in NPPESOctober 27, 2014
Mailing address4520 Lower Terrace Cir Ne, Albuquerque, NM 87111-2503

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