LEGACY SMILES EDINBURG PLLC
NPI 1477356228
Dentist - General Practice in Edinburg, TX

Q: What is Legacy Smiles Edinburg PLLC's NPI number?

The NPI number for Legacy Smiles Edinburg PLLC is 1477356228. It was assigned to this organization in the NPPES registry on March 28, 2025.

Q: What is Legacy Smiles Edinburg PLLC's specialty?

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

Active since March 28, 2025

4626 S CLOSNER BLVD, EDINBURG, TX 78539(956) 475-3005 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Legacy Smiles Edinburg Pllc NPPES

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

LEGACY SMILES EDINBURG PLLC (NPI 1477356228) is a healthcare organization registered as a general practice in Edinburg, Texas and active in the NPI registry since March 2025. The organization lists Jerin Jacob, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1477356228

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLEGACY SMILES EDINBURG PLLC

Location Address4626 S CLOSNER BLVDEdinburg, TX 78539-7279

Mailing Address4626 S Closner BlvdEdinburg, TX 78539-7279 · (956) 475-3005

Phone(956) 475-3005

Organization SubpartNo

Authorized OfficialJerin JacobOwner Dentist · (956) 574-4666

Enumeration DateMarch 28, 2025

NPPES CertifiedMarch 28, 2025

✔ NPI 1477356228 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.

4626 S CLOSNER BLVD, Edinburg, TX 78539

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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

Other Providers at the Same Location NPPES

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

ULYSSES DENTAL GROUP, PA

Dentist

4626 S CLOSNER BLVD
EDINBURG, TX 78539

Hidalgo County (956) 537-9933

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 Edinburg PLLC's NPI number?

The NPI number for Legacy Smiles Edinburg PLLC is 1477356228. It was assigned to this organization in the NPPES registry on March 28, 2025.

Where is Legacy Smiles Edinburg PLLC located?

Legacy Smiles Edinburg PLLC is located at 4626 S Closner Blvd, Edinburg, TX 78539. The listed phone number is (956) 475-3005.

What is Legacy Smiles Edinburg PLLC'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 Smiles Edinburg PLLC was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.