OrganizationActive
Legacy Dental P.C.
NPI 1720144967 · General Practice Dentistry · Omaha, NE
Provider details
- NPI number
- 1720144967
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Phillip Brigden, President(402) 393-1108
- License
- 5969 (NE)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
17602 Wright St
Suite 105
Omaha, NE 68130-2097
Phone: (402) 393-1108
Fax: (402) 393-1184
Street-level locationGet directions
Mailing address
17602 Wright St
Omaha, NE 68130-2097
Registry dates
- Enumerated
- 2006-12-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.