Active NPI
Legacy Dental Group, PLLC
- Dental Clinic/Center
- Chattanooga, TN
National Provider Identifier
1255235644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LEGACY DENTAL GROUP, PLLC
- Practice address
- 3309 Cummings Hwy Ste 112
Chattanooga, TN 37419-2438 - Phone
- (423) 821-3279
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marcy Kay
- Title
- Insurance Administrator
- Phone
- (423) 762-9992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3309 Cummings Hwy Ste 112
Chattanooga, TN 37419-2438
Mailing address
135 Twin Oaks CT
Dayton, TN 37321-5979
Phone (423) 762-9992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1255235644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 TWIN OAKS CT",
"city": "DAYTON",
"state": "TN",
"postal_code": "373215979",
"telephone_number": "423-762-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 CUMMINGS HWY STE 112",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374192438",
"telephone_number": "423-821-3279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY DENTAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "KAY",
"authorized_official_first_name": "MARCY",
"authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
"authorized_official_telephone_number": "423-762-9992",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.