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LEGENDARY SMILES DENTAL GROUP
NPI 1104658079
Clinic/Center - Dental in Watford City, ND

Active since August 19, 2024
361 N MAIN ST, WATFORD CITY, ND 58854(701) 842-4474 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Legendary Smiles Dental Group NPPES

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

LEGENDARY SMILES DENTAL GROUP (NPI 1104658079), doing business as Legendary Smiles, is a healthcare organization registered as a dental in Watford City, North Dakota and active in the NPI registry since August 2024. The organization lists Monty Stewart Bulzomi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104658079
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLEGENDARY SMILES DENTAL GROUP
Location Address361 N MAIN STWatford City, ND 58854-7311
Mailing AddressPo Box 486Watford City, ND 58854-0486 · (701) 842-4474
Phone(701) 842-4474
Organization SubpartNo
Authorized OfficialMonty Stewart BulzomiDentist · (701) 842-4474
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1104658079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
361 N MAIN ST, Watford City, ND 58854
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Other Names 1

Doing Business AsLegendary Smiles

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. NATHAN JOSEPH BURBACH DDS
Dentist
361 N MAIN ST
WATFORD CITY, ND 58854
McKenzie County (701) 842-4474
DR. DANIELLE MARI DEMORROW DDS
Dentist
361 N MAIN ST
WATFORD CITY, ND 58854
McKenzie County (701) 842-4474

Frequently Asked Questions

What is LEGENDARY SMILES DENTAL GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1104658079, enumerated as an "organization" on August 19, 2024.

Where is the provider located?

The provider is located at 361 N MAIN ST WATFORD CITY, ND 58854 and the phone number is (701) 842-4474.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

What insurance does LEGENDARY SMILES DENTAL GROUP accept?

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.