Organization
LEGACY SMILES INTERNATIONAL
Active
Other names
Legacy Smiles International
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W STUART DDS (OWNER)
(406) 248-2669
Entity
Organization
Contact information
Practice address
2700 GRAND AVE STE D, BILLINGS, MT 59102-2682
(406) 248-2669
Mailing address
2700 GRAND AVE STE D, BILLINGS, MT 59102-2682
(406) 248-2669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1882
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000261001
—
MT
05
—
261001
—
MT
Enumeration date
05/24/2017
Last updated
07/21/2022
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