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Family Legacy Dental, Llc
Pediatric Dentist in Orem, Utah
NPI 1982721114

Family Legacy Dental, Llc is a Pediatric Dentist based in Orem, UT and is specialized in Pediatric Dentistry. Family Legacy Dental, Llc practices in Orem, UT. The NPI Number for Family Legacy Dental, Llc is 1982721114 and holds a License No. 5672963-0160 (Utah).

The current practice location address for Family Legacy Dental, Llc is 845 N 100 W, Orem, UT and can be reached out via phone at 801-227-5080. You can also correspond with Family Legacy Dental, Llc through the mailing address at 845 N 100 W, OREM, UT - 84057-3180 (mailing address contact number: 801-227-5080).

Location: 845 N 100 W, Orem, UT, 84057-3180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982721114
Provider Name
Family Legacy Dental, Llc
Credential
Provider Entity Type
Organization
Address
845 N 100 W, Orem, UT, 84057-3180
Phone Number
801-227-5080
Fax Number
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363064330001 05 UT
475132674001 05 UT
529361668001 05 UT
529779405001 05 UT
529636043001 05 UT
institution
Provider Business Practice Location Address Details
Address
845 N 100 W
City
Orem
State
Utah
Zip
84057-3180
Phone Number
801-227-5080
Fax Number
person
Provider Business Mailing Address Details
Address
845 N 100 W
City
Orem
State
Utah
Zip
84057-3180
Phone Number
801-227-5080
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5672963-0160 (Utah)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
5672963-0160 (Utah)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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