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THE LEGACY DENTAL GROUP, LLC
NPI 1578330197
Dentist - General Practice in Evans, GA

Active since December 04, 2023
444 N BELAIR RD STE 101, EVANS, GA 30809(762) 218-2186(762) 200-2302 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2025, Dec 4, 2023 (2 updates tracked since 2023).

About The Legacy Dental Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE LEGACY DENTAL GROUP, LLC (NPI 1578330197) is a healthcare organization registered as a general practice in Evans, Georgia and active in the NPI registry since December 2023. The organization lists Jonathan Keith Bookout, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1578330197
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHE LEGACY DENTAL GROUP, LLC
Location Address444 N BELAIR RD STE 101Evans, GA 30809-3002
Mailing Address4847 High Meadows DrGrovetown, GA 30813-8103 · (912) 389-0638
Phone(762) 218-2186
Fax(762) 200-2302
Organization SubpartNo
Authorized OfficialJonathan Keith BookoutOwner/dentist · (912) 389-0638
Enumeration DateDecember 4, 2023
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1578330197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
444 N BELAIR RD STE 101, Evans, GA 30809
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONATHAN KEITH BOOKOUT D.M.D.
Dentist
444 N BELAIR RD STE 101
EVANS, GA 30809
Columbia County (762) 218-2186

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Legacy Dental Group, LLC's NPI number?

The NPI number for The Legacy Dental Group, LLC is 1578330197. It was assigned to this organization in the NPPES registry on December 4, 2023.

Where is The Legacy Dental Group, LLC located?

The Legacy Dental Group, LLC is located at 444 N Belair Rd Ste 101, Evans, GA 30809. The listed phone number is (762) 218-2186.

What is The Legacy Dental Group, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does The Legacy Dental Group, LLC accept?

Health plans from UnitedHealthcare list The Legacy Dental Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Legacy Dental Group, LLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.