OrganizationActive
Legacy Dental
NPI 1841204609 · General Practice Dentistry · Idaho Falls, ID
Legacy Dental is a General Practice Dentistry organization in Idaho Falls, ID (NPI 1841204609).
Provider details
- NPI number
- 1841204609
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Oliver Thuernagle, Dentist(208) 523-0840
- License
- D-3902 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 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
1685 Pancheri Dr
Idaho Falls, ID 83402-3169
Phone: (208) 523-0840
Fax: (208) 523-0921
Street-level locationGet directions
Mailing address
4935 Jupiter Hills Dr
Idaho Falls, ID 83401-6344
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Legacy Dental's NPI number?
- Legacy Dental's National Provider Identifier (NPI) is 1841204609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Dental?
- Legacy Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Legacy Dental located?
- Legacy Dental's practice location on file with NPPES is 1685 Pancheri Dr, Idaho Falls, ID 83402-3169.
- What is Legacy Dental's phone number?
- The practice phone number listed in the NPPES registry for Legacy Dental is (208) 523-0840.
- Who is the authorized official for Legacy Dental?
- The authorized official listed on Legacy Dental's NPPES record is Oliver Thuernagle, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Dental's NPI active?
- Yes — Legacy Dental's NPI (1841204609) is active in the NPPES registry as of the last update on 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.