Legacy Dental
NPI #1528853934 in Rogers, Arkansas
Provider Information
- NPI Number
- 1528853934
- Entity Type
- Organization
- Organization Name
- Legacy Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 14, 2025
- Last Updated
- Apr 14, 2025
Practice Location
Authorized Official
- Name
- DR. JACK REID FAWCETT, DDS
- Title
- GENERAL DENTIST
- Phone
- (501) 412-2717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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