Organization
LEGENDARY ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DOUGLAS DDS (OWNER)
(954) 600-5027
Entity
Organization
Contact information
Practice address
3225 AUDUBON DR, LAUREL, MS 39440-1422
(601) 778-0367
(601) 340-3162
Mailing address
3225 AUDUBON DR, LAUREL, MS 39440-1422
(601) 778-0367
(601) 340-3162
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us