P Praxis·MD
● Active Type 2 · Organization

Legacy Dental

Dentist·Idaho Falls, ID· NPI 1841204609 · Enumerated 2006 · 19 years on NPI
Legacy Dental is 1 of 1099 dentist organizations in Idaho.
NPI age
19 years
Enumerated 2006-07-28
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thuernagle
Dentist
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 1099 active dentist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1685 Pancheri Dr
Idaho Falls, ID 834023169
📞 2085230840fax 2085230921
Mailing address
4935 Jupiter Hills Dr
Idaho Falls, ID 834016344
📞 2085287537

Authorized official

Oliver Oneal Thuernagle, DMD
Dentist
📞 2085230840

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A 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.
    ID license #D-3902 taxonomy 1223G0001X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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