OrganizationActive
The Legacy Dental Group, LLC
NPI 1578330197 · General Practice Dentistry · Evans, GA
The Legacy Dental Group, LLC is a General Practice Dentistry organization in Evans, GA (NPI 1578330197).
Provider details
- NPI number
- 1578330197
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Bookout, Owner/Dentist(912) 389-0638
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
444 N Belair Rd Ste 101
Evans, GA 30809-3002
Phone: (762) 218-2186
Fax: (762) 200-2302
Street-level locationGet directions
Mailing address
4847 High Meadows Dr
Grovetown, GA 30813-8103
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Frequently asked questions
- What is The Legacy Dental Group, LLC's NPI number?
- The Legacy Dental Group, LLC's National Provider Identifier (NPI) is 1578330197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Legacy Dental Group, LLC?
- The Legacy Dental Group, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is The Legacy Dental Group, LLC located?
- The Legacy Dental Group, LLC's practice location on file with NPPES is 444 N Belair Rd Ste 101, Evans, GA 30809-3002.
- What is The Legacy Dental Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for The Legacy Dental Group, LLC is (762) 218-2186.
- Who is the authorized official for The Legacy Dental Group, LLC?
- The authorized official listed on The Legacy Dental Group, LLC's NPPES record is Jonathan Bookout, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Legacy Dental Group, LLC's NPI active?
- Yes — The Legacy Dental Group, LLC's NPI (1578330197) is active in the NPPES registry as of the last update on 2025-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.