Legacy Dental Group LLC
NPI 1689594731ActiveOrganization· Dentist, General Practice· Marblehead, MA
Dentist, General Practice in Marblehead, Massachusetts, registered in NPPES in July 2026. The authorized official on file is Christopher Jon Lucido, DMD, Owner/Doctor.
Overview
| NPI | 1689594731 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2026 |
| Last updated in NPPES | Jul 20, 2026 |
| Certified by provider | Jul 19, 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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