NPI age
2 years
Enumerated 2023-12-06
● Active Type 2 · Organization
Legacy Smiles Of San Juan Pllc
Legacy Smiles Of San Juan Pllc is 1 of 15661 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jacob
Dentist Owner
Last NPPES update
2023-12-06
Source: monthly bulk 2026-05
How this organization compares
Across 15661 active dentist providers in Texas.
NPI age
2 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-12Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
826 W Us Highway 83 Ste B
San Juan, TX 785892141
Mailing address
826 W Us Highway 83 Ste B
San Juan, TX 785892141
Authorized official
Jerin Jacob, DDS
Dentist Owner
📞 9565744666
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.