| Legendary Smiles Dental Group | |
|
361 N Main St Watford City ND 58854-7311 | |
| (701) 842-4474 | |
| Not Available |
| Full Name | Legendary Smiles Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 361 N Main St, Watford City, North Dakota |
| Authorized Official Name and Position | Monty Stewart Bulzomi (DENTIST) |
| Authorized Official Contact | 7018424474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legendary Smiles Dental Group Po Box 486 Watford City ND 58854-0486 Ph: (701) 842-4474 | Legendary Smiles Dental Group 361 N Main St Watford City ND 58854-7311 Ph: (701) 842-4474 |
| NPI Number | 1104658079 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104658079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Legendary Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 5th St Sw, Watford City, ND 58854 Phone: 701-842-4474 Fax: 701-842-4472 | |
Maisey Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 5th St Sw, Box 486, Watford City, ND 58854 Phone: 701-842-4474 |