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Organization
LEGACY DENTAL GROUP, PLLC
Active
Organization
LEGACY DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCY KAY (INSURANCE ADMINISTRATOR)
(423) 762-9992
Entity
Organization
Contact information
Practice address
4109 MOUNTAIN VIEW AVE STE 300, CHATTANOOGA, TN 37415-2096
(423) 875-5661
Mailing address
135 TWIN OAKS CT, DAYTON, TN 37321-5979
(423) 762-9992
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/07/2026
Last updated
10/07/2026
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