# LEGACY DENTAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRENT J. RISING, DDS PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427500859
- **Legal business name:** BRENT J. RISING, DDS PC
- **Authorized official:** DR. BRENT JAMISON RISING DDS (OWNER)
- **Authorized official phone:** (701) 799-6453

## Contact information

- **Practice address:** 17602 WRIGHT ST, SUITE 105, OMAHA, NE 68130-2097
- **Practice address phone:** (402) 393-1108
- **Mailing address:** 14406 HARRISON ST, OMAHA, NE 68138-6521
- **Mailing address phone:** (402) 333-1120
- **Mailing address fax:** (402) 697-8713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6812 | NE | Yes |

## Other

- **Enumeration date:** 11/02/2016
- **Last updated:** 11/02/2016