OrganizationActive
Legacy Prosthodontics LLC
NPI 1154208510 · Prosthodontics · Myrtle Beach, SC
Legacy Prosthodontics LLC is a Prosthodontics organization in Myrtle Beach, SC (NPI 1154208510).
Provider details
- NPI number
- 1154208510
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Charles Johnson, Owner-Dentist(843) 215-4343
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3017 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone: (843) 215-4343
Street-level locationGet directions
Mailing address
3017 Newcastle Loop
Myrtle Beach, SC 29588-4502
Registry dates
- Enumerated
- 2025-08-18
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Frequently asked questions
- What is Legacy Prosthodontics LLC's NPI number?
- Legacy Prosthodontics LLC's National Provider Identifier (NPI) is 1154208510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Prosthodontics LLC?
- Legacy Prosthodontics LLC is classified in the NPPES registry as Prosthodontics (Dental Providers).
- Where is Legacy Prosthodontics LLC located?
- Legacy Prosthodontics LLC's practice location on file with NPPES is 3017 Newcastle Loop, Myrtle Beach, SC 29588-4502.
- What is Legacy Prosthodontics LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Prosthodontics LLC is (843) 215-4343.
- Who is the authorized official for Legacy Prosthodontics LLC?
- The authorized official listed on Legacy Prosthodontics LLC's NPPES record is Charles Johnson, Owner-Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Prosthodontics LLC's NPI active?
- Yes — Legacy Prosthodontics LLC's NPI (1154208510) is active in the NPPES registry as of the last update on 2025-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.