Mark Legan

General Practice Dentistry · Shoreview, MN

Individual Active NPI

NPI number 1013281302

Practice location

1004 Glen Paul Ct
Shoreview, MN 55126-8113
Phone
(651) 490-1158

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NPI record

NPI
1013281302
Entity type
Individual (Type 1)
Enumeration date
March 4, 2012
Last updated
March 4, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D8931 MN

About Mark Legan

Mark Legan is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1004 Glen Paul Ct, Shoreview, MN 55126-8113. The NPI number 1013281302 was assigned on March 4, 2012 and the record was last updated on March 4, 2012.

Mark Legan lists a license in the registry: #D8931 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Legan?

The NPI number is 1013281302.

What is the phone number of Mark Legan?

The phone number listed for the practice location is (651) 490-1158.

Where is Mark Legan located?

1004 Glen Paul Ct, Shoreview, MN 55126-8113.

What is the taxonomy code for Mark Legan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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