Legacy Dental Family And Implant Dentistry

Specialty details in registry · Crossville, TN

Call (931) 291-9144 Directions

At a glance

582 Miller Ave Ste 102, Crossville, TN 38555-4481

NPPES record updated Mar 31, 2026. Public records can lag behind changes at a practice.

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Practice location

582 Miller Ave Ste 102
Crossville, TN 38555-4481
Professional details: NPI, taxonomy & registry record
NPI1639019342
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
Mar 31, 2026
Record updated
Mar 31, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

582 Miller Ave Ste 102
Crossville, TN 38555-4481
Phone
(931) 291-9144
Fax
(931) 202-8676
Mailing address
582 MILLER AVE STE 102

CROSSVILLE, TN 385554481
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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