OrganizationActive
Legacy Smiles of San Juan PLLC
NPI 1477320703 · General Practice Dentistry · San Juan, TX
Legacy Smiles of San Juan PLLC is a General Practice Dentistry organization in San Juan, TX (NPI 1477320703).
Provider details
- NPI number
- 1477320703
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jerin Jacob, Dentist Owner(956) 574-4666
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
826 W US Highway 83 Ste B
San Juan, TX 78589-2141
Phone: (956) 475-3005
Fax: (956) 475-3011
Street-level locationGet directions
Mailing address
826 W US Highway 83 Ste B
San Juan, TX 78589-2141
Registry dates
- Enumerated
- 2023-12-06
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Frequently asked questions
- What is Legacy Smiles of San Juan PLLC's NPI number?
- Legacy Smiles of San Juan PLLC's National Provider Identifier (NPI) is 1477320703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Smiles of San Juan PLLC?
- Legacy Smiles of San Juan PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Legacy Smiles of San Juan PLLC located?
- Legacy Smiles of San Juan PLLC's practice location on file with NPPES is 826 W US Highway 83 Ste B, San Juan, TX 78589-2141.
- What is Legacy Smiles of San Juan PLLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Smiles of San Juan PLLC is (956) 475-3005.
- Who is the authorized official for Legacy Smiles of San Juan PLLC?
- The authorized official listed on Legacy Smiles of San Juan PLLC's NPPES record is Jerin Jacob, Dentist Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Smiles of San Juan PLLC's NPI active?
- Yes — Legacy Smiles of San Juan PLLC's NPI (1477320703) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.