Legacy Dental
NPI 1861796229ActiveOrganization· Preferred Provider Organization· Delray Beach, FL
Preferred Provider Organization in Delray Beach, Florida, registered in NPPES in December 2010. The authorized official on file is Chris Wittusen, Director.
Overview
| NPI | 1861796229 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2010 |
| Last updated in NPPES | Dec 28, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | FL |
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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