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LEGACY DENTAL, P.C.
NPI 1811283302
Clinic/Center - Oral and Maxillofacial Surgery in Des Moines, IA

Active since June 22, 2011
4409 SW 9TH ST, DES MOINES, IA 50315(515) 285-8888(515) 287-7760 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy Dental, P.c. NPPES

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

LEGACY DENTAL, P.C. (NPI 1811283302) is a healthcare organization registered as an oral and maxillofacial surgery in Des Moines, Iowa and active in the NPI registry since June 2011. The organization lists Jeffrey Wayne Purk, Owner, as its authorized official.

NPPES Registry Identity

NPI1811283302
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameLEGACY DENTAL, P.C.
Location Address4409 SW 9TH STDes Moines, IA 50315-3909
Mailing Address4409 Sw 9th StDes Moines, IA 50315-3909 · (515) 285-8888 · Fax (515) 287-7760
Phone(515) 285-8888
Fax(515) 287-7760
Organization SubpartNo
Authorized OfficialJeffrey Wayne PurkOwner · (515) 285-8888
Enumeration DateJune 22, 2011
Last NPPES UpdateNovember 3, 2011
✔ NPI 1811283302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in IA · 7566
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4409 SW 9TH ST, Des Moines, IA 50315
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Other Identifiers 1

Medicaid1083827117IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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.

EMERGENCY DENTAL CARE USA
Dentist (General Practice)
4409 SW 9TH ST
DES MOINES, IA 50315
Polk County (515) 287-2006

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 1811283302. It was assigned to this organization in the NPPES registry on June 22, 2011.

Where is Legacy Dental, P.C. located?

Legacy Dental, P.C. is located at 4409 SW 9th St, Des Moines, IA 50315. The listed phone number is (515) 285-8888.

What is Legacy Dental, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

What insurance does Legacy Dental, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Legacy Dental, P.C. 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 Dental, P.C. was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.