LEGACY DENTAL LLC
NPI 1215332754
Clinic/Center - Dental in Albuquerque, NM

Active since October 27, 2014
4520 LOWER TERRACE CIR NE, ALBUQUERQUE, NM 87111(505) 299-4431(505) 291-0265 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Dental Llc NPPES

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

LEGACY DENTAL LLC (NPI 1215332754) is a healthcare organization registered as a dental in Albuquerque, New Mexico and active in the NPI registry since October 2014. The organization lists Stewart J Anderson, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1215332754
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLEGACY DENTAL LLC
Location Address4520 LOWER TERRACE CIR NEAlbuquerque, NM 87111-2503
Mailing Address4520 Lower Terrace Cir NeAlbuquerque, NM 87111-2503 · (505) 299-4431 · Fax (505) 291-0265
Fax(505) 291-0265
Organization SubpartNo
Authorized OfficialStewart J AndersonOwner/dentist · (505) 299-4431
Enumeration DateOctober 27, 2014
NPI 1215332754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in NM · DD3103
4520 LOWER TERRACE CIR NE, Albuquerque, NM 87111

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4520 LOWER TERRACE CIR NE
ALBUQUERQUE, NM 87111
Dentist
4520 LOWER TERRACE CIR NE
ALBUQUERQUE, NM 87111

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 1215332754. It was assigned to this organization in the NPPES registry on October 27, 2014.

Where is Legacy Dental LLC located?

Legacy Dental LLC is located at 4520 Lower Terrace Cir NE, Albuquerque, NM 87111. The listed phone number is (505) 299-4431.

What is Legacy Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Legacy Dental LLC was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.