Legacy Dental of Glen Oaks

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25393 Issued in TX

Legal business name

LEGACY DENTAL OF GLEN OAKS

Practice address

4767 Vista Wood Blvd
Ste 110
Dallas, TX 75232

Phone

(214) 321-8383

NPI assigned

May 26, 2015

Last updated

May 26, 2015By 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

Dr. Michael Gerald Heffelfinger, DDSNPI 1295055739

Title

Owner

Phone

(972) 563-8383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael G Heffelfinger, D.D.S.

  • Dentist
  • Terrell, TX
  • NPI 1295055739
  NPD (past) Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1962881748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4767 VISTA WOOD BLVD",
            "address_2": "STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 VISTA WOOD BLVD",
            "address_2": "STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75232",
            "telephone_number": "214-321-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DENTAL OF GLEN OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "HEFFELFINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-563-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Gayle Leftwich-Paquette, CNP
• Legacy Assessment Group, LLC
• Legacy Chiropractic and Sports Medicine
• Legacy Counseling Center Inc
• Legacy Dental of East Dallas, PLLC
• Legacy Dental of Mesquite PLLC
• Legacy Heart Care of North Dallas, LLC (Flow Therapy North Dallas)
• Legacy Heart Clinic, LLC (Trinity Heart Care)
• Legacy Infusions and Injections LLC
• Legacy Injury Care

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.