OrganizationActive
Legacy Dental, P.C.
NPI 1811283302 · Oral and Maxillofacial Surgery Clinic/Center · Des Moines, IA
Provider details
- NPI number
- 1811283302
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Purk, Owner(515) 285-8888
- License
- 7566 (IA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4409 Sw 9th St
Des Moines, IA 50315-3909
Phone: (515) 285-8888
Fax: (515) 287-7760
Approximate (ZIP-level) locationGet directions
Mailing address
4409 Sw 9th St
Des Moines, IA 50315-3909
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2011-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.