Legacy Dental Llc

LBN: Legacy Dental Llc
Legacy Dental Llc is an health care organization with primary practice located at 5127 Zuck Rd , Erie PA 16506-4941. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Legacy Dental Llc can be contacted via phone (814) 746-3327, or through Mansour, Samer via phone (814) 746-3327.

Contact Information

Primary practice address
5127 Zuck Rd Erie PA 16506-4941
Phone: (814) 746-3327
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mansour, Samer Doctor of Dental Surgery (DDS)
Phone: (814) 746-3327

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X

Profile Details

NPI number 1679175541
LBN Legal business name Legacy Dental Llc
DBA Doing business as
Authorized official Mansour, Samer Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2020
Last updated Mar 10th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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