Healthcare Provider Details

I. General information

NPI: 1790615359
Provider Name (Legal Business Name): ALMOND DOMINIQUE APOLONIO LEGASPI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3790 COON RAPIDS BLVD NW
COON RAPIDS MN
55433-2629
US

IV. Provider business mailing address

2700 UNIVERSITY AVE W APT 300
SAINT PAUL MN
55114-1876
US

V. Phone/Fax

Practice location:
  • Phone: 763-341-9285
  • Fax:
Mailing address:
  • Phone: 763-353-6205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD15449
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: