Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODERN LEGACY, INC.
Active OrganizationMODERN LEGACY, INC. is a General Dentistry organization located in LATTA, South Carolina. NPI 1992032486 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LATTA, SC
Registration Details
- NPI Number
- 1992032486
- Provider Type
- Organization
- NPI Issued
- Nov 4, 2009 (16.782786850639 yrs)
- Last Updated
- Aug 5, 2024
Practice Information
- Address
-
203 S MARION STLATTA, SC, 295651522Browse SC providers · Browse ZIP 29565
- Phone
- 8437527655
- Fax
- 8437524500
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.