Legacy Dental Group LLC
Dentist, General Practice in Marblehead, Massachusetts
1689594731- Practice location
- 11 Atlantic Ave, Marblehead, MA 01945-5613
- Phone
- 718-757-6954
- Fax
- —
- Last updated
- July 20, 2026
Legacy Dental Group LLC is a healthcare organization based in Marblehead, MA. Legacy Dental Group LLC practices in Marblehead, MA. The NPI Number for Legacy Dental Group LLC is 1689594731. The current practice location address for Legacy Dental Group LLC is 11 Atlantic Ave, Marblehead, MA 01945-5613 and can be reached out via phone at 718-757-6954.
Provider Profile Details
- NPI Number
- 1689594731
- Provider Name
- Legacy Dental Group LLC
- Provider Entity Type
- Organization
- Address
- 11 Atlantic Ave, Marblehead, MA 01945-5613
- Phone Number
- 718-757-6954
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Christopher Jon Lucido, DMD · Owner/Doctor · 718-757-6954
- Provider Enumeration Date
- July 20, 2026
- Last Update Date
- July 20, 2026
- Certification Date
- July 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Atlantic Ave
Marblehead, MA 01945-5613 - City
- Marblehead
- State
- Massachusetts
- Zip
- 01945-5613
- Phone Number
- 718-757-6954
Provider Business Mailing Address Details
- Address
- 11 Eugene Dr
Winchester, MA 01890-1062 - City
- Winchester
- State
- MA
- Zip
- 01890-1062
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Marblehead, MA
View all Dentist, General Practice providers in Marblehead →- Dr. Angelo G Boncore, DMDDentist, General Practice · NPI 1932323805
- Dr. Donald I Rothenberg, DMDDentist, General Practice · NPI 1295853554
- Dr. Fern E Selesnick, DMDDentist, General Practice · NPI 1316158348
- Dr. James H Fox, DDSDentist, General Practice · NPI 1508960113
- Dr. James U Rice, DMDDentist, General Practice · NPI 1437287844
- Dr. Jerry A Zanni, DDSDentist, General Practice · NPI 1164445037
Frequently Asked Questions
What is the NPI number of Legacy Dental Group LLC?
The NPI number of Legacy Dental Group LLC is 1689594731. It was assigned on July 20, 2026 and is currently active in the NPPES registry.
What is the specialty of Legacy Dental Group LLC?
Legacy Dental Group LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Legacy Dental Group LLC practice?
The practice location is 11 Atlantic Ave, Marblehead, MA 01945-5613. The office can be reached at 718-757-6954 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689594731 directly on the NPPES registry website.