Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LEGACY DENTAL GROUP LLC
NPI 1689594731
Dentist - General Practice in Marblehead, MA

Active since July 20, 2026
11 ATLANTIC AVE, MARBLEHEAD, MA 01945(718) 757-6954 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Dental Group Llc NPPES

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

LEGACY DENTAL GROUP LLC (NPI 1689594731) is a healthcare organization registered as a general practice in Marblehead, Massachusetts and active in the NPI registry since July 2026. The organization lists Christopher Jon Lucido, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1689594731
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEGACY DENTAL GROUP LLC
Location Address11 ATLANTIC AVEMarblehead, MA 01945-5613
Mailing Address11 Eugene DrWinchester, MA 01890-1062
Organization SubpartNo
Authorized OfficialChristopher Jon LucidoOwner/doctor · (718) 757-6954
Enumeration DateJuly 20, 2026
NPPES CertifiedJuly 19, 2026
NPI 1689594731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

11 ATLANTIC AVE, Marblehead, MA 01945

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.

Dentist (General Practice)
11 ATLANTIC AVE, 2ND FLOOR
MARBLEHEAD, MA 01945

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 Group LLC's NPI number?

The NPI number for Legacy Dental Group LLC is 1689594731. It was assigned to this organization in the NPPES registry on July 20, 2026.

Where is Legacy Dental Group LLC located?

Legacy Dental Group LLC is located at 11 Atlantic Ave, Marblehead, MA 01945. The listed phone number is (718) 757-6954.

What is Legacy Dental Group LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Legacy Dental Group LLC was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.