Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MODERN LEGACY, INC.
Active
Organization
MODERN LEGACY, INC.
Active
Other names
Latta Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JACHELLE AG SPRATTLING DMD (SECRETARY)
(843) 810-4259
Entity
Organization
Contact information
Practice address
203 S MARION ST, LATTA, SC 29565-1522
(843) 752-7655
(843) 752-4500
Mailing address
203 S MARION ST, LATTA, SC 29565-1522
(843) 752-7655
(843) 752-4500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
08/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up