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LEGACY DENTAL
NPI 1528853934
Dentist - General Practice in Rogers, AR

Active since April 14, 2025
901 S PROMENADE BLVD, ROGERS, AR 72758(501) 412-2717 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Legacy Dental NPPES

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

LEGACY DENTAL (NPI 1528853934) is a healthcare organization registered as a general practice in Rogers, Arkansas and active in the NPI registry since April 2025. The organization lists Jack Reid Fawcett, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1528853934
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEGACY DENTAL
Location Address901 S PROMENADE BLVDRogers, AR 72758-1801
Mailing Address6791 Garden Trail AveSpringdale, AR 72762-7048 · (501) 412-2717
Phone(501) 412-2717
Organization SubpartNo
Authorized OfficialJack Reid FawcettGeneral Dentist · (501) 412-2717
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1528853934 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.
901 S PROMENADE BLVD, Rogers, AR 72758
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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

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's NPI number?

The NPI number for Legacy Dental is 1528853934. It was assigned to this organization in the NPPES registry on April 14, 2025.

Where is Legacy Dental located?

Legacy Dental is located at 901 S Promenade Blvd, Rogers, AR 72758. The listed phone number is (501) 412-2717.

What is Legacy Dental'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 was last updated on April 14, 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.