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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEGACY DENTAL GROUP PLLC
NPI 1922359744
Dentist - General Practice in Bremerton, WA

Active since September 20, 2012
59 NE FAIRGROUNDS RD, BREMERTON, WA 98311(360) 692-9701(360) 698-4777 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Legacy Dental Group Pllc NPPES

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

LEGACY DENTAL GROUP PLLC (NPI 1922359744) is a healthcare organization registered as a general practice in Bremerton, Washington and active in the NPI registry since September 2012. The organization lists Shannon Herdman, Manager, as its authorized official.

NPPES Registry Identity

NPI1922359744
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEGACY DENTAL GROUP PLLC
Location Address59 NE FAIRGROUNDS RDBremerton, WA 98311-8609
Mailing Address59 Ne Fairgrounds RdBremerton, WA 98311-8609 · (360) 692-9701 · Fax (360) 698-4777
Phone(360) 692-9701
Fax(360) 698-4777
Organization SubpartYesParent: Legacy Dental Group
Authorized OfficialShannon HerdmanManager · (360) 692-9701
Enumeration DateSeptember 20, 2012
Last NPPES UpdateNovember 3, 2026
NPPES CertifiedNovember 3, 2026
✔ NPI 1922359744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
59 NE FAIRGROUNDS RD, Bremerton, WA 98311
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. DOUGLAS ELDRED DANCE DDS
Dentist (General Practice)
59 NE FAIRGROUNDS RD
BREMERTON, WA 98311
Kitsap County (360) 698-5911
DANCE AND BURSON, D.D.S., P.S.
Dentist (General Practice)
59 NE FAIRGROUNDS RD
BREMERTON, WA 98311
Kitsap County (360) 698-5911
DR. DYKE WORTH BURSON DDS
Dentist (General Practice)
59 NE FAIRGROUNDS RD
BREMERTON, WA 98311
Kitsap County (360) 698-5868

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 Group PLLC's NPI number?

The NPI number for Legacy Dental Group PLLC is 1922359744. It was assigned to this organization in the NPPES registry on September 20, 2012.

Where is Legacy Dental Group PLLC located?

Legacy Dental Group PLLC is located at 59 NE Fairgrounds Rd, Bremerton, WA 98311. The listed phone number is (360) 692-9701.

What is Legacy Dental Group PLLC's specialty?

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

What insurance does Legacy Dental Group PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Legacy Dental Group PLLC 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 Group PLLC was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.