| Legacy Smiles International | |
|
2700 Grand Ave Ste D Billings MT 59102-2682 | |
| (406) 248-2669 | |
| Not Available |
| Full Name | Legacy Smiles International |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 Grand Ave Ste D, Billings, Montana |
| Authorized Official Name and Position | Michael W Stuart (OWNER) |
| Authorized Official Contact | 4062482669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Smiles International 2700 Grand Ave Ste D Billings MT 59102-2682 Ph: (406) 248-2669 | Legacy Smiles International 2700 Grand Ave Ste D Billings MT 59102-2682 Ph: (406) 248-2669 |
| NPI Number | 1316475106 |
|---|---|
| Provider Enumeration Date | 05/24/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316475106 | NPI | - | NPPES |
| 261001 | Medicaid | MT | |
| 0000261001 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1882 (Montana) | Primary |
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