Legacy Dental Group, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LEGACY DENTAL GROUP, PLLC

Practice address

4910 Willowbend Blvd Ste C
Houston, TX 77035-3227

Phone

(713) 729-1813

NPI assigned

Feb 28, 2019

Organization subpart

No

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

Authorized official

Name

Amanda Lightfoot

Title

Authorized Representative

Phone

(214) 702-0708

Specialties & licenses 1

Addresses

Other names 1

• Legacy Dental Group Doing business as

Locations

Practitioners 2

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

• Russell R Hilliard, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1659364198
  NPD (past)
• Rodney K Rayburn, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1669474094
  NPD (past)

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1730646571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 DALLAS PKWY STE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483309",
            "telephone_number": "214-702-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 WILLOWBEND BLVD STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770353227",
            "telephone_number": "713-729-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-702-0708"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Legacy Community Health Services, Inc.
• Legacy Community Health Services, Inc.
• Legacy Community Health(Closed)
• Legacy Community Pharmacy Services
• Legacy Community Support Services
• Legacy Healthcare Inc
• Legacy Healthcare Services
• Legacy Heart Care of Houston, LLC
• Legacy Lights & Meters LLC
• Legacy Med LLC

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.