Legacy Smiles Family Dental, PLLC
NPI 1275646259ActiveOrganization· Dentist, General Practice· Meridian, ID
Dentist, General Practice in Meridian, Idaho, registered in NPPES in August 2006. The authorized official on file is Brad J. Williams, DDS, Partner.
Overview
| NPI | 1275646259 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2006 |
| Last updated in NPPES | May 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D3220 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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