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

Modern Legacy, Inc

Organization General Practice Dentistry · NPI 1992032486

Modern Legacy, Inc is a General Practice Dentistry in Latta, South Carolina. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 S Marion St
Latta, SC 29565-1522
Phone: (843) 752-7655
Fax: (843) 752-4500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1992032486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jachelle Sprattling — Secretary · (843) 810-4259
Other names Latta Family Dentistry
NPI enumeratedNovember 4, 2009
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address203 S Marion St, Latta, SC 29565-1522

Other providers in Latta