Legacy Dental LLC
NPI 1083704019 · General Practice Dentistry · Fort Wayne, IN
Legacy Dental LLC is a General Practice Dentistry organization in Fort Wayne, IN (NPI 1083704019).
Provider details
- NPI number
- 1083704019
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nathan Bojrab, Ceo(260) 434-1133
- License
- 12008943 (IN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Ueber & Friederich Dentistry
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2020-08-17
- Certified
- 2020-08-17
Frequently asked questions
- What is Legacy Dental LLC's NPI number?
- Legacy Dental LLC's National Provider Identifier (NPI) is 1083704019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Dental LLC?
- Legacy Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Legacy Dental LLC located?
- Legacy Dental LLC's practice location on file with NPPES is 7215 Engle Rd., Fort Wayne, IN 46804.
- What is Legacy Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Dental LLC is (260) 434-1133.
- Who is the authorized official for Legacy Dental LLC?
- The authorized official listed on Legacy Dental LLC's NPPES record is Nathan Bojrab, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Dental LLC's NPI active?
- Yes — Legacy Dental LLC's NPI (1083704019) is active in the NPPES registry as of the last update on 2020-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.