Legend Dental-Georgetown

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LEGEND DENTAL-GEORGETOWN

Doing business as

Legend Dental & Orthodontics

Practice address

1013 W University Ave Ste 345
Georgetown, TX 78628-5345

Phone

(512) 869-4850

Fax

(512) 869-8485

NPI assigned

Nov 28, 2011

Last updated

Apr 26, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Pu

Title

VP of Finance

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Legend Dental & Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robyn Perry, RDH

  • Dental Hygienist
  • Georgetown, TX
  • NPI 1386023364
  NPD
• Rachael J Cresto, DMD

  • Dentist
  • Georgetown, TX
  • NPI 1962497412
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1699042259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "972-869-3789",
            "fax_number": "972-869-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W UNIVERSITY AVE STE 345",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786285345",
            "telephone_number": "512-869-4850",
            "fax_number": "512-869-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND DENTAL-GEORGETOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legend Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leander Oral Surgery and Dental Implants (Georgetown Center of Oral and Maxillofacial Surgery)
• Britney Lee, PTA
• Caitlin Lee, M.ED.
• Jacqueline Lee
• Daniel James Leeman, M.D.
• Jeremy D Leland, DDS MD
• Anjanette Arlene Lelko, PHARM D, RN
• Allison Rebecca Lemone
• Kristie Lee Lensing, LPC
• Leon Psychiatric Services PLLC

• Dentist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.