LEGACY DENTAL
NPI 1861796229
Preferred Provider Organization in Delray Beach, FL

Active since December 28, 2010
4993 W ATLANTIC AVE, DELRAY BEACH, FL 33445(561) 381-3100(561) 381-3323 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Legacy Dental NPPES

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

LEGACY DENTAL (NPI 1861796229) is a healthcare organization registered as a preferred provider organization in Delray Beach, Florida and active in the NPI registry since December 2010. The organization lists Chris Wittusen, Director, as its authorized official.

NPPES Registry Identity

NPI1861796229
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameLEGACY DENTAL
Location Address4993 W ATLANTIC AVEDelray Beach, FL 33445-3850
Mailing Address4993 W Atlantic AveDelray Beach, FL 33445-3850 · (561) 381-3100 · Fax (561) 381-3323
Fax(561) 381-3323
Organization SubpartNo
Authorized OfficialChris WittusenDirector · (561) 381-3100
Enumeration DateDecember 28, 2010
NPI 1861796229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

4993 W ATLANTIC AVE, Delray Beach, FL 33445

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist
4993 W ATLANTIC AVE
DELRAY BEACH, FL 33445
Dentist
4993 W ATLANTIC AVE
DELRAY BEACH, FL 33445
Dentist (General Practice)
4993 W ATLANTIC AVE
DELRAY BEACH, FL 33445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861796229, enumerated as an "organization" on December 28, 2010.

The provider is located at 4993 W ATLANTIC AVE DELRAY BEACH, FL 33445 and the phone number is (561) 381-3100.

Preferred Provider Organization with taxonomy code 305R00000X.