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LEGACY SMILES
NPI 1609052042
Dentist - General Practice in Peoria, AZ

Active since January 16, 2008
28451 NORTH VISTANCIA BLVD, SUITE 101, PEORIA, AZ 85383(623) 218-6638(623) 218-6937 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Smiles NPPES

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

LEGACY SMILES (NPI 1609052042) is a healthcare organization registered as a general practice in Peoria, Arizona and active in the NPI registry since January 2008. The organization lists Paul Gebhart, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1609052042
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEGACY SMILES, LLP
Location Address28451 NORTH VISTANCIA BLVD, SUITE 101Peoria, AZ 85383
Mailing Address2860 Michelle, 2nd FloorIrvine, CA 92606-1009 · (714) 508-3600 · Fax (714) 368-2092
Phone(623) 218-6638
Fax(623) 218-6937
Organization SubpartNo
Authorized OfficialPaul GebhartOwner Doctor · (623) 218-6638
Enumeration DateJanuary 16, 2008
Last NPPES UpdateSeptember 7, 2010
✔ NPI 1609052042 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.
28451 NORTH VISTANCIA BLVD, Peoria, AZ 85383
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Other Names 1

Doing Business AsLegacy Smiles

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 Ambetter from Arizona Complete Health, Humana.Insurance ›

Other Providers at the Same Location NPPES

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

VISTANCIA DENTAL GROUP, PROFESSIONAL CORPORATION
Dentist (General Practice)
28451 NORTH VISTANCIA BLVD, SUITE 101
PEORIA, AZ 85383
Maricopa County (623) 218-6638

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, LLP's NPI number?

The NPI number for Legacy Smiles, LLP is 1609052042. It was assigned to this organization in the NPPES registry on January 16, 2008. The provider is doing business as Legacy Smiles.

Where is Legacy Smiles, LLP located?

Legacy Smiles, LLP is located at 28451 North Vistancia Blvd Suite 101, Peoria, AZ 85383. The listed phone number is (623) 218-6638.

What is Legacy Smiles, LLP's specialty?

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

What insurance does Legacy Smiles, LLP accept?

Health plans from Ambetter from Arizona Complete Health and Humana list Legacy Smiles, LLP 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, LLP was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.