OrganizationActive
Legacy Pedo LLC
NPI 1871813295 · Pediatric Dentistry · Kennesaw, GA
Legacy Pedo LLC is a Pediatric Dentistry organization in Kennesaw, GA (NPI 1871813295).
Provider details
- NPI number
- 1871813295
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Reznik, Owner(770) 777-7427
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3903 Jiles Rd Nw
#210
Kennesaw, GA 30144-4612
Phone: (770) 590-9050
Street-level locationGet directions
Mailing address
3903 Jiles Rd Nw
Kennesaw, GA 30144-4612
Registry dates
- Enumerated
- 2010-06-08
- Last updated
- 2010-06-08
Frequently asked questions
- What is Legacy Pedo LLC's NPI number?
- Legacy Pedo LLC's National Provider Identifier (NPI) is 1871813295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Pedo LLC?
- Legacy Pedo LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Legacy Pedo LLC located?
- Legacy Pedo LLC's practice location on file with NPPES is 3903 Jiles Rd Nw, Kennesaw, GA 30144-4612.
- What is Legacy Pedo LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Pedo LLC is (770) 590-9050.
- Who is the authorized official for Legacy Pedo LLC?
- The authorized official listed on Legacy Pedo LLC's NPPES record is Michael Reznik, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Pedo LLC's NPI active?
- Yes — Legacy Pedo LLC's NPI (1871813295) is active in the NPPES registry as of the last update on 2010-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.