OrganizationActive
Legacy Smiles of San Juan PLLC
NPI 1477320703 · General Practice Dentistry · San Juan, TX
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(57/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.