OrganizationActive
Legacy Dental Solutions LLC
NPI 1174267983 · General Practice Dentistry · Covington, GA
Provider details
- NPI number
- 1174267983
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Alexis Irby-Johnson, Owner(470) 205-8802
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
3133 Highway 278 Ne
Covington, GA 30014-2301
Phone: (470) 205-8802
Street-level locationGet directions
Mailing address
Po Box 70887
Cleveland, OH 44190-0887
Registry dates
- Enumerated
- 2022-04-27
- Last updated
- 2023-06-20
- Certified
- 2023-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.