OrganizationActive
Moore Legacy Dental
NPI 1649952086 · Dental Clinic/Center · Roy, UT
Moore Legacy Dental is a Dental Clinic/Center organization in Roy, UT (NPI 1649952086).
Provider details
- NPI number
- 1649952086
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elise Van Tassell, Owner(385) 239-0028
Specialties & taxonomies
Ambulatory Health Care Facilities
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
4896 S 1900 W Ste B
Roy, UT 84067-2994
Phone: (801) 773-9198
Fax: (208) 444-9804
Street-level locationGet directions
Mailing address
4896 S 1900 W Ste B
Roy, UT 84067-2994
Registry dates
- Enumerated
- 2023-08-04
- Last updated
- 2023-08-04
- Certified
- 2023-08-04
Frequently asked questions
- What is Moore Legacy Dental's NPI number?
- Moore Legacy Dental's National Provider Identifier (NPI) is 1649952086, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moore Legacy Dental?
- Moore Legacy Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Moore Legacy Dental located?
- Moore Legacy Dental's practice location on file with NPPES is 4896 S 1900 W Ste B, Roy, UT 84067-2994.
- What is Moore Legacy Dental's phone number?
- The practice phone number listed in the NPPES registry for Moore Legacy Dental is (801) 773-9198.
- Who is the authorized official for Moore Legacy Dental?
- The authorized official listed on Moore Legacy Dental's NPPES record is Elise Van Tassell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moore Legacy Dental's NPI active?
- Yes — Moore Legacy Dental's NPI (1649952086) is active in the NPPES registry as of the last update on 2023-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.