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LEGACY DENTAL LLC
NPI 1679175541
Dentist - Dental Public Health in Erie, PA

Active since November 14, 2020

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 10, 2021, Nov 14, 2020 (2 updates tracked since 2020).

About Legacy Dental Llc NPPES

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

LEGACY DENTAL LLC (NPI 1679175541) is a healthcare organization registered as a dental public health in Erie, Pennsylvania and active in the NPI registry since November 2020. The organization lists Samer Mansour, Dentist, as its authorized official.

NPPES Registry Identity

NPI1679175541
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameLEGACY DENTAL LLC
Location Address5127 ZUCK RDErie, PA 16506-4941
Mailing Address5127 Zuck RdErie, PA 16506-4941 · (814) 746-3327
Phone(814) 746-3327
Organization SubpartNo
Authorized OfficialSamer MansourDentist · (814) 746-3327
Enumeration DateNovember 14, 2020
Last NPPES UpdateMarch 10, 20212 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
✔ NPI 1679175541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
5127 ZUCK RD, Erie, PA 16506
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Dental LLC's NPI number?

The NPI number for Legacy Dental LLC is 1679175541. It was assigned to this organization in the NPPES registry on November 14, 2020.

Where is Legacy Dental LLC located?

Legacy Dental LLC is located at 5127 Zuck Rd, Erie, PA 16506. The listed phone number is (814) 746-3327.

What is Legacy Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

What insurance does Legacy Dental LLC accept?

Health plans from UnitedHealthcare list Legacy Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Dental LLC was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.