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

Legacy Prosthodontics LLC

Organization Prosthodontics · NPI 1154208510

Legacy Prosthodontics LLC is a Prosthodontics in Myrtle Beach, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3017 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone: (843) 215-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X

Record details

NPI number1154208510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Johnson — Owner-Dentist · (843) 215-4343
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address3017 Newcastle Loop, Myrtle Beach, SC 29588-4502

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