Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LEGACY MOBILE DENTISTRY LLC
NPI 1558216804
Dentist in Oregon, OH

Active since March 02, 2026
2737 NAVARRE AVE STE 203, OREGON, OH 43616(419) 728-9998 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Mar 2, 2026 (2 updates tracked since 2026).

About Legacy Mobile Dentistry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY MOBILE DENTISTRY LLC (NPI 1558216804) is a healthcare organization registered as a dentist in Oregon, Ohio and active in the NPI registry since March 2026. The organization lists Nesreen Aouthmany, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1558216804
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLEGACY MOBILE DENTISTRY LLC
Location Address2737 NAVARRE AVE STE 203Oregon, OH 43616-3276
Mailing Address2737 Navarre Ave Ste 203Oregon, OH 43616-3276 · (419) 728-9998
Organization SubpartNo
Authorized OfficialNesreen AouthmanyManaging Member · (419) 728-9998
Enumeration DateMarch 2, 2026
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1558216804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2737 NAVARRE AVE STE 203, Oregon, OH 43616

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
2737 NAVARRE AVE STE 203
OREGON, OH 43616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Mobile Dentistry LLC's NPI number?

The NPI number for Legacy Mobile Dentistry LLC is 1558216804. It was assigned to this organization in the NPPES registry on March 2, 2026.

Where is Legacy Mobile Dentistry LLC located?

Legacy Mobile Dentistry LLC is located at 2737 Navarre Ave Ste 203, Oregon, OH 43616. The listed phone number is (419) 728-9998.

What is Legacy Mobile Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Legacy Mobile Dentistry LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.