LEGENDARY SMILES DENTAL GROUP
NPI 1104658079
Clinic/Center - Dental in Watford City, ND
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
Specialties & Licenses
Other Names 1
Accepted 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.
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 Dental Group's NPI number?
The NPI number for Legendary Smiles Dental Group is 1104658079. It was assigned to this organization in the NPPES registry on August 19, 2024. The provider is doing business as Legendary Smiles.
Where is Legendary Smiles Dental Group located?
Legendary Smiles Dental Group is located at 361 N Main St, Watford City, ND 58854. The listed phone number is (701) 842-4474.
What is Legendary Smiles Dental Group's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
What insurance does Legendary Smiles Dental Group accept?
Health plans from Sanford Health Plan list Legendary Smiles Dental Group 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 Dental Group was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Legendary Smiles Dental Group · NPI 1104658079
Dental organization in Watford City, North Dakota. Organization record, active in the CMS NPPES registry since August 19, 2024.
## Identity
- **NPI:** 1104658079 (Entity type: Organization)
- **Enumerated:** August 19, 2024
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Legendary Smiles (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Monty Bulzomi, DENTIST
## Practice location
- **Address:** 361 N MAIN ST, Watford City, ND 58854-7311
- **Phone:** (701) 842-4474
## Record status
- **NPPES last updated:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104658079) · Data from the CMS NPPES public registry.