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MOORE LEGACY DENTAL
NPI 1649952086
Clinic/Center - Dental in Roy, UT

Active since August 04, 2023
4896 S 1900 W STE B, ROY, UT 84067(801) 773-9198(208) 444-9804 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moore Legacy Dental NPPES

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

MOORE LEGACY DENTAL (NPI 1649952086) is a healthcare organization registered as a dental in Roy, Utah and active in the NPI registry since August 2023. The organization lists Elise Nicole Van Tassell, Owner, as its authorized official.

NPPES Registry Identity

NPI1649952086
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMOORE LEGACY DENTAL
Location Address4896 S 1900 W STE BRoy, UT 84067-2994
Mailing Address4896 S 1900 W Ste BRoy, UT 84067-2994 · (801) 773-9198 · Fax (208) 444-9804
Phone(801) 773-9198
Fax(208) 444-9804
Organization SubpartNo
Authorized OfficialElise Nicole Van TassellOwner · (385) 239-0028
Enumeration DateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
✔ NPI 1649952086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4896 S 1900 W STE B, Roy, UT 84067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Moore Legacy Dental's NPI number?

The NPI number for Moore Legacy Dental is 1649952086. It was assigned to this organization in the NPPES registry on August 4, 2023.

Where is Moore Legacy Dental located?

Moore Legacy Dental is located at 4896 S 1900 W Ste B, Roy, UT 84067. The listed phone number is (801) 773-9198.

What is Moore Legacy Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Moore Legacy Dental accept?

Health plans from UnitedHealthcare list Moore Legacy Dental 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 Moore Legacy Dental was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.