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Legendary Orthodontics, LLC

Orthodontics and Dentofacial Orthopedics Dentistry in Laurel, MS · enumerated 2018 · authorized official Kevin Douglas, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508359340

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Registry record

Entity type Organization (Type 2)
Legal business name Legendary Orthodontics, LLC
Practice address 3225 Audubon Dr, Laurel, MS, 39440
Fax (601) 340-3162
Enumeration date Jun 6, 2018
Last updated in NPPES Jun 6, 2018

Taxonomy & classification

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers Primary

Authorized official

Name Kevin Douglas
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Legendary Orthodontics, LLC?
Legendary Orthodontics, LLC is registered in NPPES as a Orthodontics and Dentofacial Orthopedics Dentistry (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-06.