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

NPI Status: Active since April 14, 2025

Contact Information

901 S PROMENADE BLVD
ROGERS, AR
ZIP 72758
Phone: (501) 412-2717

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  • Organization
  • Dentist
  • General Practice

About LEGACY DENTAL

This page provides the complete NPI Profile along with additional information for Legacy Dental, a provider established in Rogers, Arkansas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1528853934 assigned on April 2025. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated April 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jack Reid Fawcett Dds (General Dentist)

NPI
1528853934
Provider Name
LEGACY DENTAL
Entity Type
Organization
Location Address
901 S PROMENADE BLVD ROGERS, AR 72758
Location Phone
(501) 412-2717
Mailing Address
6791 GARDEN TRAIL AVE SPRINGDALE, AR 72762
Mailing Phone
(501) 412-2717
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2025
Last Update Date
04-14-2025
Code Navigator

A dentist like Legacy Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JACK REID FAWCETT DDS

Authorized Official Title
GENERAL DENTIST
Authorized Official Phone
(501) 412-2717

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528853934
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548165696
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 6 + 5 + 6 + 9 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1528853934 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528853934, enumerated as an "organization" on April 14, 2025.

The provider is located at 901 S PROMENADE BLVD ROGERS, AR 72758 and the phone number is (501) 412-2717.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.