The Legacy Dental Group, Llc

LBN: The Legacy Dental Group, Llc
The Legacy Dental Group, Llc is an health care organization with primary practice located at 444 N Belair Rd Ste 101 , Evans GA 30809-3002. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. The Legacy Dental Group, Llc can be contacted via phone (912) 389-0638, or through Bookout, Jonathan Keith via phone (912) 389-0638.

Contact Information

Primary practice address
444 N Belair Rd Ste 101 Evans GA 30809-3002
Phone: (912) 389-0638
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bookout, Jonathan Keith Doctor of Dental Medicine (DMD)
Phone: (912) 389-0638

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1578330197
LBN Legal business name The Legacy Dental Group, Llc
DBA Doing business as
Authorized official Bookout, Jonathan Keith Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2023
Last updated Dec 4th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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