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Provider record

Legacy Dental Studio, LLC

Legacy Dental Studio, LLC appears in the CMS NPPES public file with a General Practice Dentistry taxonomy and an organization record in Inlet Beach, FL. This page keeps the listing to source-reported address, phone, taxonomy, NPI, and caveat fields.

NPI1851118475
Entity typeOrganization
Reported phone(850) 818-9006
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJune 3, 2026

Data pulled and checked

NPPES statusActive

Reported to NPPES

Directory statusIndependent

No affiliation or endorsement implied

We show source-reported CMS NPPES fields.

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1851118475
Entity type
Organization
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
50 Origins Main Street, Suite 200
Inlet Beach, FL 32461
Phone
(850) 818-9006
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How to verify this record

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  1. Confirm the office address and phone number directly with the provider.
  2. Use the NPI number when comparing this record with CMS NPPES.
  3. Check state licensing sources separately for license status or disciplinary history.
  4. Ask the office about insurance, appointments, services, and availability.

Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
1223G0001X
Specialty
General Practice Dentistry
Source
CMS NPPES
Last updated
May 26, 2026