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LEGACY DENTAL
NPI 1841204609
Dentist - General Practice in Idaho Falls, ID

Active since July 28, 2006
1685 PANCHERI DR, IDAHO FALLS, ID 83402(208) 523-0840(208) 523-0921 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Dental NPPES

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

LEGACY DENTAL (NPI 1841204609) is a healthcare organization registered as a general practice in Idaho Falls, Idaho and active in the NPI registry since July 2006. The organization lists Oliver Oneal Thuernagle, Dentist, as its authorized official.

NPPES Registry Identity

NPI1841204609
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEGACY DENTAL
Location Address1685 PANCHERI DRIdaho Falls, ID 83402-3169
Mailing Address4935 Jupiter Hills DrIdaho Falls, ID 83401-6344 · (208) 528-7537
Phone(208) 523-0840
Fax(208) 523-0921
Organization SubpartNo
Authorized OfficialOliver Oneal ThuernagleDentist · (208) 523-0840
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1841204609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-3902
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.

1685 PANCHERI DR, Idaho Falls, ID 83402
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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 MULTIPLE 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.

OLIVER ONEAL THUERNAGLE DMD
Dentist (General Practice)
1685 PANCHERI DR
IDAHO FALLS, ID 83402
Bonneville County (208) 523-0840

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's NPI number?

The NPI number for Legacy Dental is 1841204609. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Legacy Dental located?

Legacy Dental is located at 1685 Pancheri Dr, Idaho Falls, ID 83402. The listed phone number is (208) 523-0840.

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