LEGACY DENTAL LLC
NPI 1083704019
Dentist - General Practice in Fort Wayne, IN

Q: What is Legacy Dental LLC's NPI number?

The NPI number for Legacy Dental LLC is 1083704019. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider was formerly known as Ueber & Friederich Dentistry.

Q: What is Legacy Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Legacy Dental LLC was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2006

7215 ENGLE RD., FORT WAYNE, IN 46804(260) 434-1133 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Legacy Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY DENTAL LLC (NPI 1083704019), doing business as Ueber & Friederich Dentistry, is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since October 2006. The organization lists Nathan James Bojrab, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083704019

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLEGACY DENTAL LLC

Location Address7215 ENGLE RD.Fort Wayne, IN 46804

Mailing Address7215 Engle Rd.Fort Wayne, IN 46804 · (260) 434-1133

Phone(260) 434-1133

Organization SubpartNo

Authorized OfficialNathan James BojrabCeo · (260) 434-1133

Enumeration DateOctober 13, 2006

Last NPPES UpdateAugust 17, 2020

NPPES CertifiedAugust 17, 2020

✔ NPI 1083704019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in IN · 12010440✔ Licensed in IN · 12008943✔ Licensed in IN · 12009422

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

7215 ENGLE RD., Fort Wayne, IN 46804

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Other Names 1

Former Legal Business NameUeber & Friederich Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Dental LLC's NPI number?

The NPI number for Legacy Dental LLC is 1083704019. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider was formerly known as Ueber & Friederich Dentistry.

Where is Legacy Dental LLC located?

Legacy Dental LLC is located at 7215 Engle Rd., Fort Wayne, IN 46804. The listed phone number is (260) 434-1133.

What is Legacy Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Legacy Dental LLC was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.