LEGACY MOBILE DENTISTRY LLC – Dentist, NPI 1558216804

LEGACY MOBILE DENTISTRY LLC is a healthcare provider. based in Oregon, Ohio. specializing in Dentist. The NPI Number for LEGACY MOBILE DENTISTRY LLC is 1558216804

Main info

Organization
Name
LEGACY MOBILE DENTISTRY LLC
NPI
1558216804
Phone
(419) 728-9998
Address
2737 NAVARRE AVE STE 203
Authorized Official
NESREEN AOUTHMANY MANAGING MEMBER DDS
Enumeration Date
2 March 2026
Last Update Date
2 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for LEGACY MOBILE DENTISTRY LLC

  • 2737 NAVARRE AVE STE 203

    OREGON, OH 436163276

    Phone: (419) 728-9998

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

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

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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 43616)

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Reviews

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Frequently asked questions

Where can patients find LEGACY MOBILE DENTISTRY LLC's NPI?
You can confirm LEGACY MOBILE DENTISTRY LLC with NPI 1558216804; it appears in the national provider directory.
Is LEGACY MOBILE DENTISTRY LLC's NPI currently valid?
The extract we use shows LEGACY MOBILE DENTISTRY LLC as active.
What field does LEGACY MOBILE DENTISTRY LLC work in?
You can think of LEGACY MOBILE DENTISTRY LLC as practicing within Dentist. Clinical services aligned with this taxonomy classification.
Does LEGACY MOBILE DENTISTRY LLC practice in Ohio?
You will see Oregon, Ohio on file for LEGACY MOBILE DENTISTRY LLC alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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