Search › Georgia › 122300000X
Jonathan Bookout, D.M.D
NPI 1861874638 · on the registry since 2015 · sole proprietor
Practice
- Address
- 444 N Belair Rd Ste 101
Evans, GA 30809 - Phone
- (762) 218-2186
- Fax
- (762) 200-2302
- Organisation at this address
- The Legacy Dental Group, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia