OrganizationActive
Legacy Dental Associates
NPI 1639030307 · General Practice Dentistry · Grand Rapids, MI
Legacy Dental Associates is a General Practice Dentistry organization in Grand Rapids, MI (NPI 1639030307).
Provider details
- NPI number
- 1639030307
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jakob Lee, Dentist(616) 558-7928
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2440 Gaynor Ave Nw
Grand Rapids, MI 49544-1830
Phone: (616) 784-8444
Street-level locationGet directions
Mailing address
2716 Sterner St Nw
Grand Rapids, MI 49504-8100
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Legacy Dental Associates's NPI number?
- Legacy Dental Associates's National Provider Identifier (NPI) is 1639030307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Dental Associates?
- Legacy Dental Associates is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Legacy Dental Associates located?
- Legacy Dental Associates's practice location on file with NPPES is 2440 Gaynor Ave Nw, Grand Rapids, MI 49544-1830.
- What is Legacy Dental Associates's phone number?
- The practice phone number listed in the NPPES registry for Legacy Dental Associates is (616) 784-8444.
- Who is the authorized official for Legacy Dental Associates?
- The authorized official listed on Legacy Dental Associates's NPPES record is Jakob Lee, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Dental Associates's NPI active?
- Yes — Legacy Dental Associates's NPI (1639030307) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.