OrganizationActive
Legacy Dental Group
NPI 1215953161 · Non-Pharmacy Dispensing Site · Glendale, AZ
Provider details
- NPI number
- 1215953161
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Louis Core, DDS(602) 993-4200
- License
- D4729 (AZ)
Specialties & taxonomies
Suppliers
Practice location
18205 N 51st Ave Ste 101
Glendale, AZ 85308-1491
Phone: (602) 993-4200
Fax: (602) 993-4222
Approximate (ZIP-level) locationGet directions
Mailing address
Poc Management LLC
Santa Ana, CA 92704
Other names (DBA / former)
- Doing business as
- Louis T Core DDS
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.