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LEGACY DENTAL CARE LLC
NPI 1336683036
Dentist - General Practice in Blaine, MN

Active since December 14, 2016
12265 CENTRAL AVE NE, BLAINE, MN 55434(763) 757-1323 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Dental Care Llc NPPES

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

LEGACY DENTAL CARE LLC (NPI 1336683036) is a healthcare organization registered as a general practice in Blaine, Minnesota and active in the NPI registry since December 2016. The organization lists Dennis L Parvey, Dentist, as its authorized official.

NPPES Registry Identity

NPI1336683036
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEGACY DENTAL CARE LLC
Location Address12265 CENTRAL AVE NEBlaine, MN 55434-3961
Mailing Address12265 Central Ave NeBlaine, MN 55434-3961 · (763) 757-1323
Phone(763) 757-1323
Organization SubpartNo
Authorized OfficialDennis L ParveyDentist · (763) 757-1323
Enumeration DateDecember 14, 2016
✔ NPI 1336683036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 8455
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.
12265 CENTRAL AVE NE, Blaine, MN 55434
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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

Other Providers at the Same Location NPPES 7

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

MRS. NERMIN GIRGIS RIZK D.D.S.
Dentist
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-1323
KYLE NOVOTNY DDS PLLC
Dentist (General Practice)
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-1323
DR. JOHN ADRIAN GERBER D.C.
Chiropractor (Internist)
12265 CENTRAL AVE NE, SUITE 108
BLAINE, MN 55434
Anoka County (763) 757-8511
DR. KYLE STEPHEN NOVOTNY DDS
Dentist (General Practice)
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-1323
DR. DENNIS LEE PARVEY D.D.S
Dentist (General Practice)
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-1323
DR. DANIEL P CHAVES DC
Chiropractor
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-8511
OPEN HEART CHIROPRACTIC PA
Chiropractor
12265 CENTRAL AVE NE
BLAINE, MN 55434
Anoka County (763) 757-8511

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 Care LLC's NPI number?

The NPI number for Legacy Dental Care LLC is 1336683036. It was assigned to this organization in the NPPES registry on December 14, 2016.

Where is Legacy Dental Care LLC located?

Legacy Dental Care LLC is located at 12265 Central Ave NE, Blaine, MN 55434. The listed phone number is (763) 757-1323.

What is Legacy Dental Care 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 Care LLC was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.