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

The Legacy Dental Group, LLC

Organization General Practice Dentistry · NPI 1578330197

The Legacy Dental Group, LLC is a General Practice Dentistry in Evans, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

444 N Belair Rd Ste 101
Evans, GA 30809-3002
Phone: (762) 218-2186
Fax: (762) 200-2302
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 number1578330197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Bookout — Owner/Dentist · (912) 389-0638
NPI enumeratedDecember 4, 2023
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address4847 High Meadows Dr, Grovetown, GA 30813-8103

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