LEGACY SMILES OF SAN JUAN PLLC
NPI 1477320703
Dentist - General Practice in San Juan, TX

Q: What is Legacy Smiles Of San Juan PLLC's NPI number?

The NPI number for Legacy Smiles Of San Juan PLLC is 1477320703. It was assigned to this organization in the NPPES registry on December 6, 2023.

Q: What is Legacy Smiles Of San Juan PLLC's specialty?

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

Active since December 06, 2023

826 W US HIGHWAY 83 STE B, SAN JUAN, TX 78589(956) 475-3005(956) 475-3011 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Legacy Smiles Of San Juan Pllc NPPES

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

LEGACY SMILES OF SAN JUAN PLLC (NPI 1477320703) is a healthcare organization registered as a general practice in San Juan, Texas and active in the NPI registry since December 2023. The organization lists Jerin Jacob, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1477320703

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLEGACY SMILES OF SAN JUAN PLLC

Location Address826 W US HIGHWAY 83 STE BSan Juan, TX 78589-2141

Mailing Address826 W Us Highway 83 Ste BSan Juan, TX 78589-2141 · (956) 475-3005 · Fax (956) 475-3011

Phone(956) 475-3005

Fax(956) 475-3011

Organization SubpartNo

Authorized OfficialJerin JacobDentist Owner · (956) 574-4666

Enumeration DateDecember 6, 2023

NPPES CertifiedDecember 6, 2023

✔ NPI 1477320703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

826 W US HIGHWAY 83 STE B, San Juan, TX 78589

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc..Insurance ›

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 Of San Juan PLLC's NPI number?

The NPI number for Legacy Smiles Of San Juan PLLC is 1477320703. It was assigned to this organization in the NPPES registry on December 6, 2023.

Where is Legacy Smiles Of San Juan PLLC located?

Legacy Smiles Of San Juan PLLC is located at 826 W Us Highway 83 Ste B, San Juan, TX 78589. The listed phone number is (956) 475-3005.

What is Legacy Smiles Of San Juan 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 Of San Juan PLLC accept?

Health plans from DentaQuest USA Insurance Company, Inc. list Legacy Smiles Of San Juan 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 Of San Juan PLLC was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.