Grand Legacy Dental is a Dental Clinic in San Diego, California. This organization is also known as sub part of Evan Demko Dds Inc. It is located at 2654 4th Ave, San Diego, CA and its contact number is 619-234-7493. The authorized person for Grand Legacy Dental is Dr. Evan Demko
who is Dentist of the clinic and their contact number is 619-234-7493.
Grand Legacy Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Grand Legacy Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Grand Legacy Dental |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2654 4th Ave, San Diego,
California, 92103-6515 |
| Phone: | 619-234-7493 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Evan Demko |
| Position: | Dentist |
| Contact Number: | 619-234-7493 |
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 for Grand Legacy Dental clinic are as mentioned below.
| NPI Number: | 1932079878 |
| Parent Organization: | Evan Demko Dds Inc |
| NPI Enumeration Date: | 06 Nov, 2025 |
| NPI Last Update On: | 06 Nov, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Legacy Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Grand Legacy Dental
2654 4th Ave,
San Diego, California |
| Zip: | 92103-6515 |
| Phone Number: | 619-234-7493 |
Patients can reach Grand Legacy Dental at
2654 4th Ave, San Diego, California or can
call to book an appointment on 619-234-7493.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.