Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Legacy Family Dentistry, PC

Organization Dentist · NPI 1356105423

Legacy Family Dentistry, PC is a Dentist in Gainesville, Georgia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

224 Shallowford Rd NW
Gainesville, GA 30504-4171
Phone: (770) 536-1170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X
Endodontics Taxonomy 1223E0200X

Record details

NPI number1356105423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ben Cutler — Secretary · (607) 743-9474
NPI enumeratedFebruary 9, 2024
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024
Mailing address224 Shallowford Rd Nw, Gainesville, GA 30504-4171

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