Legacy Dental Family and Implant Dentistry
NPI 1639019342ActiveOrganization· Dentist, General Practice· Crossville, TN
Dentist, General Practice in Crossville, Tennessee, registered in NPPES in March 2026. The authorized official on file is Tiffany Austin, RDH, OM, Rdh,om.
Overview
| NPI | 1639019342 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2026 |
| Last updated in NPPES | Mar 31, 2026 |
| Certified by provider | Mar 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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