LEGACY SMILES FAMILY DENTAL, PLLC
NPI 1275646259
Dentist - General Practice in Meridian, ID

Active since August 16, 2006
1180 N OLIVE AVE, MERIDIAN, ID 83642(208) 888-3311(208) 888-1691 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Smiles Family Dental, Pllc NPPES

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

LEGACY SMILES FAMILY DENTAL, PLLC (NPI 1275646259) is a healthcare organization registered as a general practice in Meridian, Idaho and active in the NPI registry since August 2006. The organization lists Brad J Williams, Partner, as its authorized official.

NPPES Registry Identity

NPI1275646259
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEGACY SMILES FAMILY DENTAL, PLLC
Location Address1180 N OLIVE AVEMeridian, ID 83642-5920
Mailing Address1180 N Olive AveMeridian, ID 83642-5920 · (208) 888-3311 · Fax (208) 888-1691
Fax(208) 888-1691
Organization SubpartNo
Authorized OfficialBrad J WilliamsPartner · (208) 888-3311
Enumeration DateAugust 16, 2006
Last NPPES UpdateMay 12, 2016
NPI 1275646259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D3220
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.
1180 N OLIVE AVE, Meridian, ID 83642

Other Identifiers 3

Medicaid002799600ID
Medicaid806233700ID
Medicaid002799500ID

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1180 N OLIVE AVE
MERIDIAN, ID 83642

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 Smiles Family Dental, PLLC's NPI number?

The NPI number for Legacy Smiles Family Dental, PLLC is 1275646259. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Legacy Smiles Family Dental, PLLC located?

Legacy Smiles Family Dental, PLLC is located at 1180 N Olive Ave, Meridian, ID 83642. The listed phone number is (208) 888-3311.

What is Legacy Smiles Family Dental, PLLC's specialty?

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

What insurance does Legacy Smiles Family Dental, PLLC accept?

Health plans from UnitedHealthcare list Legacy Smiles Family Dental, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Smiles Family Dental, PLLC was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.