Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Legacy Smiles Family Dental, PLLC

Organization General Practice Dentistry · NPI 1275646259

Legacy Smiles Family Dental, PLLC provides General Practice Dentistry in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1180 N Olive Ave
Meridian, ID 83642-5920 Not confirmed with CMS for 10 years — call before visiting
Phone: (208) 888-3311
Fax: (208) 888-1691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D3220 (ID)

Record details

NPI number1275646259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Williams — Partner · (208) 888-3311
NPI enumeratedAugust 16, 2006
Last updated in NPPESMay 12, 2016
Mailing address1180 N Olive Ave, Meridian, ID 83642-5920

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