LEGACY DENTAL P.C.
NPI 1720144967
Dentist - General Practice in Omaha, NE

Q: What is Legacy Dental P.C.'s NPI number?

The NPI number for Legacy Dental P.C. is 1720144967. It was assigned to this organization in the NPPES registry on December 30, 2006.

Q: What is Legacy Dental P.C.'s specialty?

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

Active since December 30, 2006

17602 WRIGHT ST, SUITE 105, OMAHA, NE 68130(402) 393-1108(402) 393-1184 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Legacy Dental P.c. NPPES

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

LEGACY DENTAL P.C. (NPI 1720144967) is a healthcare organization registered as a general practice in Omaha, Nebraska and active in the NPI registry since December 2006. The organization lists Phillip Tracy Brigden, President, as its authorized official.

NPPES Registry Identity

NPI1720144967

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLEGACY DENTAL P.C.

Location Address17602 WRIGHT ST, SUITE 105Omaha, NE 68130-2097

Mailing Address17602 Wright St, Suite 105Omaha, NE 68130-2097 · (402) 393-1108 · Fax (402) 393-1184

Phone(402) 393-1108

Fax(402) 393-1184

Organization SubpartNo

Authorized OfficialPhillip Tracy BrigdenPresident · (402) 393-1108

Enumeration DateDecember 30, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1720144967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NE · 5969

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.

17602 WRIGHT ST, Omaha, NE 68130

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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

Other Providers at the Same Location NPPES

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

LEGACY DENTAL CARE, LLC

Dentist (General Practice)

17602 WRIGHT ST, SUITE 105
OMAHA, NE 68130

Douglas County (402) 393-1108

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 P.C.'s NPI number?

The NPI number for Legacy Dental P.C. is 1720144967. It was assigned to this organization in the NPPES registry on December 30, 2006.

Where is Legacy Dental P.C. located?

Legacy Dental P.C. is located at 17602 Wright St Suite 105, Omaha, NE 68130. The listed phone number is (402) 393-1108.

What is Legacy Dental P.C.'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 P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.