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LEGENDARY SMILES
NPI 1023463320
Clinic/Center - Dental in Watford City, ND

Active since April 25, 2016
109 5TH ST SW, WATFORD CITY, ND 58854(701) 842-4474(701) 842-4472 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legendary Smiles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGENDARY SMILES (NPI 1023463320) is a healthcare organization registered as a dental in Watford City, North Dakota and active in the NPI registry since April 2016. The organization lists Monty Stewart Bulzomi, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1023463320
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLEGENDARY SMILES, P.C.
Location Address109 5TH ST SWWatford City, ND 58854-7135
Mailing Address109 5th St Sw, Po Box 486Watford City, ND 58854-7135 · (701) 842-4474 · Fax (701) 842-4472
Phone(701) 842-4474
Fax(701) 842-4472
Organization SubpartNo
Authorized OfficialMonty Stewart BulzomiOwner/dentist · (701) 842-4474
Enumeration DateApril 25, 2016
✔ NPI 1023463320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in ND · 2238
109 5TH ST SW, Watford City, ND 58854
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Other Names 1

Doing Business AsLegendary Smiles

Other Identifiers 1

Medicaid1464401ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA ALLEN DMD
Dentist
109 5TH ST SW, BOX 486
WATFORD CITY, ND 58854
McKenzie County (701) 842-4474
MAISEY DENTAL
Dentist
109 5TH ST SW, BOX 486
WATFORD CITY, ND 58854
McKenzie County (701) 842-4474
EXCEL HEARING CARE, PLLC
Audiologist-Hearing Aid Fitter
109 5TH ST SW
WATFORD CITY, ND 58854
McKenzie County (701) 330-0382

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legendary Smiles, P.C.'s NPI number?

The NPI number for Legendary Smiles, P.C. is 1023463320. It was assigned to this organization in the NPPES registry on April 25, 2016. The provider is doing business as Legendary Smiles.

Where is Legendary Smiles, P.C. located?

Legendary Smiles, P.C. is located at 109 5th St SW, Watford City, ND 58854. The listed phone number is (701) 842-4474.

What is Legendary Smiles, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Legendary Smiles, P.C. accept?

Health plans from Blue Cross Blue Shield of North Dakota list Legendary Smiles, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legendary Smiles, P.C. was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.