OrganizationActive
Family Legacy Dental, LLC
NPI 1982721114 · Pediatric Dentistry · Orem, UT
Provider details
- NPI number
- 1982721114
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lamona Fullmer, Owner(801) 227-5080
- License
- 5672963-0160 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
845 N 100 W
Suite 100
Orem, UT 84057-3180
Phone: (801) 227-5080
Street-level locationGet directions
Mailing address
845 N 100 W
Orem, UT 84057-3180
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.