LEGACY PEDO LLC – Pediatric Dentistry, NPI 1871813295

LEGACY PEDO LLC is a healthcare provider. based in Kennesaw, Georgia. specializing in Pediatric Dentistry. The NPI Number for LEGACY PEDO LLC is 1871813295

Main info

Organization
Name
LEGACY PEDO LLC
NPI
1871813295
Phone
(770) 590-9050
Address
3903 JILES RD NW
Authorized Official
DR. MICHAEL REZNIK OWNER DDS
Enumeration Date
8 June 2010
Last Update Date
8 June 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

Provider Addresses for LEGACY PEDO LLC

  • 3903 JILES RD NW

    #210

    KENNESAW, GA 301444612

    Phone: (770) 590-9050

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30144)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify LEGACY PEDO LLC for billing?
Administrative and clinical systems typically use NPI 1871813295 for LEGACY PEDO LLC.
Quick check: is LEGACY PEDO LLC active?
Public NPPES data shows LEGACY PEDO LLC with an active NPI status right now.
How should patients interpret LEGACY PEDO LLC's specialty?
The extract shows Pediatric Dentistry for LEGACY PEDO LLC. Clinical services aligned with this taxonomy classification.
Can patients visit LEGACY PEDO LLC in Kennesaw, Georgia?
For routing, start with Kennesaw, Georgia for LEGACY PEDO LLC, then verify phone and hours locally.
Who maintains LEGACY PEDO LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

DR. CAROLYN S RUDE (D.D.S.)

Pediatric Dentistry
3065, River North Parkway Northwest, Atlanta, Georgia, 30328, United States
NPI: 1689646945

ELYSE M. MORCEAU (D.D.S.)

Pediatric Dentistry
Emergency Dentist Kennesaw, 205, Hawkins Store Road Northwest, Kennesaw, Cobb County, Georgia, 30144, United States
NPI: 1700858032

Unknown Individual

Pediatric Dentistry
Emergency Dentist Kennesaw, 205, Hawkins Store Road Northwest, Kennesaw, Cobb County, Georgia, 30144, United States
NPI: 1740252097
Alpha Lighting & Bulbs, 8560, Holcomb Bridge Road, Seven Pines, Alpharetta, Fulton, Georgia, 30022, United States
NPI: 1649387127

DR. LINDA WOLF

Pediatric Dentistry
Emergency Dentist Kennesaw, 205, Hawkins Store Road Northwest, Kennesaw, Cobb County, Georgia, 30144, United States
NPI: 1053464800

My Kids' Dentists

Pediatric Dentistry
205 HAWKINS STORE RD NW
NPI: 1164687612
15 RIVERBEND DR SW STE 130
NPI: 1255560520

ANJALI WILLIAMSON (DDS)

Pediatric Dentistry
54 SPRING LAKE PL NW
NPI: 1588949689
5255 STILESBORO RD NW
NPI: 1184993933