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FAMILY LEGACY DENTAL, LLC
NPI 1982721114
Dentist - Pediatric Dentistry in Orem, UT

Active since March 23, 2007
845 N 100 W, SUITE 100, OREM, UT 84057(801) 227-5080 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Family Legacy Dental, Llc NPPES

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

FAMILY LEGACY DENTAL, LLC (NPI 1982721114) is a healthcare organization registered as a pediatric dentistry in Orem, Utah and active in the NPI registry since March 2007. The organization lists Lamona Marie Fullmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1982721114
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFAMILY LEGACY DENTAL, LLC
Location Address845 N 100 W, SUITE 100Orem, UT 84057-3180
Mailing Address845 N 100 W, Suite 100Orem, UT 84057-3180 · (801) 227-5080
Phone(801) 227-5080
Organization SubpartNo
Authorized OfficialLamona Marie FullmerOwner · (801) 227-5080
Enumeration DateMarch 23, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1982721114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in UT · 5672963-0160
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 5672963-0160 (UT)

Other Identifiers 5

Medicaid363064330001UT
Medicaid475132674001UT
Medicaid529361668001UT
Medicaid529779405001UT
Medicaid529636043001UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

EYE PHYSICIANS OF UTAH
Optometrist
845 N 100 W, SUITE 110
OREM, UT 84057
Utah County (801) 889-8420
JOSHUA MARTIN DDS
Dentist (General Practice)
845 N 100 W, SUITE 100
OREM, UT 84057
Utah County (520) 955-7759

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 Family Legacy Dental, LLC's NPI number?

The NPI number for Family Legacy Dental, LLC is 1982721114. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Family Legacy Dental, LLC located?

Family Legacy Dental, LLC is located at 845 N 100 W Suite 100, Orem, UT 84057. The listed phone number is (801) 227-5080.

What is Family Legacy Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Family Legacy Dental, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.