Legacy Dental Group
Non-pharmacy Dispensing Site
18205 N 51st Ave Ste 101, Glendale
Arizona, 85308-1491
602-993-4200 602-993-4222
Legacy Dental Group is not a DME supplier for medicare equipments and products.
Legacy Dental Group is a Non-pharmacy Dispensing Site in Glendale, Arizona. It is located at 18205 N 51st Ave Ste 101, Glendale and it's customer support contact number is 602-993-4200. The authorized person of Legacy Dental Group is Louis Core who is Dds of the pharmacy and his contact number is 602-993-4200. Active license number of Legacy Dental Group is D4729 for Non-pharmacy Dispensing Site in Arizona.
Legacy Dental Group is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Legacy Dental Group type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Legacy Dental Group |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 18205 N 51st Ave Ste 101, Glendale, Arizona, 85308-1491 |
| Phone: | 602-993-4200 |
| Fax: | 602-993-4222 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Louis Core |
| Position: | Dds |
| Contact Number: | 602-993-4200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1215953161 |
| NPI Enumeration Date: | 14 Jul, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Legacy Dental Group are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | D4729 | Arizona | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0353324 | Other | | Other Id Number-commercial Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Poc Management Llc, 3000 W Warner Ave Santa Ana, California |
| Zip: | 92704 |
| Phone Number: | -- |
Patients can reach Legacy Dental Group at
18205 N 51st Ave Ste 101, Glendale, Arizona or can
call on customer care at 602-993-4200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.