| Legacy Dental Solutions LLC | |
|
3133 Highway 278 Ne Covington GA 30014-2301 | |
| (470) 205-8802 | |
| Not Available |
| Full Name | Legacy Dental Solutions LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3133 Highway 278 Ne, Covington, Georgia |
| Authorized Official Name and Position | Alexis Irby-johnson (OWNER) |
| Authorized Official Contact | 4702058802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Dental Solutions LLC Po Box 70887 Cleveland OH 44190-0887 | Legacy Dental Solutions LLC 3133 Highway 278 Ne Covington GA 30014-2301 Ph: (470) 205-8802 |
| NPI Number | 1174267983 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174267983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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