Legacy Smiles of Orlando

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEGACY SMILES OF ORLANDO

Practice address

338 N Magnolia Ave Ste a
Orlando, FL 32801-1653

Phone

(407) 648-3688

NPI assigned

Mar 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua Hall, DMDNPI 1417401233

Title

Owner

Phone

(207) 776-2323

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua J. Hall, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1417401233
  NPD Authorized official
• Mary Gharagozloo, DDS

  • Dentist
  • Orlando, FL
  • NPI 1144429259
  NPD (past)
• Paul J. Skomsky, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1982723680
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1679333447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 N MAGNOLIA AVE STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011653",
            "telephone_number": "407-648-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 N MAGNOLIA AVE STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011653",
            "telephone_number": "407-648-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SMILES OF ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-776-2323",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Family Medicine LLC
• Legacy Home Health Agency LLC
• Legacy Non-Emergency Medi Transport
• Legacy Park Discount Pharmacy
• Legacy Park Discount Pharmacy
• Legacy V Medical
• Debbie Legall
• Adelisa Belle Legaspi, DMD
• Judith Faith Legault, PH.D., ED.D.
• Legavie Health LLC

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.