Family Legacy Dental, LLC
NPI 1982721114ActiveOrganization· Dentist, Pediatric Dentistry· Orem, UT
Dentist, Pediatric Dentistry in Orem, Utah, registered in NPPES in March 2007. The authorized official on file is Lamona Marie Fullmer, Owner.
Overview
| NPI | 1982721114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 5672963-0160 | UT |
| Dentist, General Practice | 1223G0001X | 5672963-0160 | UT |
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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