Family Legacy Dental, LLC

NPI #1982721114 in Orem, Utah

Provider Information

NPI Number
1982721114
Entity Type
Organization
Organization Name
Family Legacy Dental, LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Mar 23, 2007
Last Updated
Sep 11, 2025

Practice Location

Address
845 N 100 W
Address 2
SUITE 100
City
Orem
State
Utah
ZIP Code
84057-3180
Phone
(801) 227-5080

Authorized Official

Name
MRS. LAMONA MARIE FULLMER
Title
OWNER
Phone
(801) 227-5080

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - Pediatric DentistryPediatric Dentistry

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