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 provides 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.

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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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