OrganizationActive
Grand Legacy Dental
NPI 1932079878 · General Practice Dentistry · San Diego, CA
Grand Legacy Dental is a General Practice Dentistry organization in San Diego, CA (NPI 1932079878).
Provider details
- NPI number
- 1932079878
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Evan Demko DDS Inc
- Organization subpart
- Yes
- Authorized official
- Evan Demko, Dentist(619) 234-7493
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
2654 4th Ave
San Diego, CA 92103-6515
Phone: (619) 234-7493
Street-level locationGet directions
Mailing address
2654 4th Ave
San Diego, CA 92103-6515
Registry dates
- Enumerated
- 2025-11-06
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Frequently asked questions
- What is Grand Legacy Dental's NPI number?
- Grand Legacy Dental's National Provider Identifier (NPI) is 1932079878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Legacy Dental?
- Grand Legacy Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Grand Legacy Dental located?
- Grand Legacy Dental's practice location on file with NPPES is 2654 4th Ave, San Diego, CA 92103-6515.
- What is Grand Legacy Dental's phone number?
- The practice phone number listed in the NPPES registry for Grand Legacy Dental is (619) 234-7493.
- Who is the authorized official for Grand Legacy Dental?
- The authorized official listed on Grand Legacy Dental's NPPES record is Evan Demko, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Legacy Dental's NPI active?
- Yes — Grand Legacy Dental's NPI (1932079878) is active in the NPPES registry as of the last update on 2025-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.