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:
22 Aug, 2020
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
Pediatric Dentistry
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.