OrganizationActive
Legacy Dental Care LLC
NPI 1336683036 · General Practice Dentistry · Blaine, MN
Provider details
- NPI number
- 1336683036
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dennis Parvey, Dentist(763) 757-1323
- License
- 8455 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
12265 Central Ave Ne
Blaine, MN 55434-3961
Phone: (763) 757-1323
Street-level locationGet directions
Mailing address
12265 Central Ave Ne
Blaine, MN 55434-3961
Registry dates
- Enumerated
- 2016-12-14
- Last updated
- 2016-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.