Family Legacy Dental, Llc is a Dental Clinic in Orem, Utah. It is located at 845 N 100 W, Suite 100, Orem, UT and its contact number is 801-227-5080. The authorized person for Family Legacy Dental, Llc is Mrs. Lamona Marie Fullmer
who is Owner of the clinic and their contact number is 801-227-5080. The primary license number for Family Legacy Dental, Llc is 5672963-0160 (Pediatric Dentistry) in Utah.
Family Legacy Dental, Llc 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:
Family Legacy Dental, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Family Legacy Dental, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 845 N 100 W, Suite 100, Orem,
Utah, 84057-3180 |
| Phone: | 801-227-5080 |
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: | Mrs. Lamona Marie Fullmer |
| Position: | Owner |
| Contact Number: | 801-227-5080 |
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 Family Legacy Dental, Llc clinic are as mentioned below.
| NPI Number: | 1982721114 |
| NPI Enumeration Date: | 23 Mar, 2007 |
| NPI Last Update On: | 11 Sep, 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 Family Legacy Dental, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 5672963-0160 | Utah | Primary | |
| General Practice | 5672963-0160 | Utah | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 363064330001 | Medicaid | Utah | |
| 475132674001 | Medicaid | Utah | |
| 529361668001 | Medicaid | Utah | |
| 529779405001 | Medicaid | Utah | |
| 529636043001 | Medicaid | Utah | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Family Legacy Dental, Llc
845 N 100 W, Suite 100
Orem, Utah |
| Zip: | 84057-3180 |
| Phone Number: | 801-227-5080 |
Patients can reach Family Legacy Dental, Llc at
845 N 100 W, Suite 100, Orem, Utah or can
call to book an appointment on 801-227-5080.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.