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

Legend Dental-Georgetown

Organization Dentist · NPI 1699042259

Legend Dental-Georgetown is a Dentist in Georgetown, Texas. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1013 W University Ave Ste 345
Georgetown, TX 78628-5345
Phone: (512) 869-4850
Fax: (512) 869-8485
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1699042259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Pu — Vp Of Finance · (972) 869-3789
Other names Legend Dental & Orthodontics
NPI enumeratedNovember 28, 2011
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing addressPo Box 734753, Dallas, TX 75373-4753

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