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LEGACY SMILES INTERNATIONAL NPI 1316475106


NPI Information

NPI: 1316475106
Provider Name: LEGACY SMILES INTERNATIONAL

Former Legal Business Name: LEGACY SMILES INTERNATIONAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2700 GRAND AVE STE D
BILLINGS, MT
ZIP 59102
Phone: (406) 248-2669
Get Directions

LEGACY SMILES INTERNATIONAL is a general practice dentist in Billings, MT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LEGACY SMILES INTERNATIONAL NPI is 1316475106. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Legacy Smiles International.

The provider's business location address is:

2700 GRAND AVE STE D
BILLINGS, MT
ZIP 59102-682
Phone: (406) 248-2669

The provider's authorized official is Michael W Stuart .
The authorized official title is Owner and has the following contact phone number (406) 248-2669.

The enumeration date for this NPI number is 5/24/2017 and was last updated on 5/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice1882MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1261001MEDICAIDMONTANA
20000261001MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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