Legacy Smiles International

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1882 Issued in MT

Legal business name

LEGACY SMILES INTERNATIONAL

Practice address

2700 Grand Ave Ste D
Billings, MT 59102-2682

Phone

(406) 248-2669

NPI assigned

May 24, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael W Stuart, DDSNPI 1669478772

Title

Owner

Phone

(406) 248-2669

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Legacy Smiles International Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Wayne Stuart, DDS

  • General Practice Dentistry
  • Butte, MT
  • NPI 1669478772
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316475106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GRAND AVE STE D",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022682",
            "telephone_number": "406-248-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 GRAND AVE STE D",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022682",
            "telephone_number": "406-248-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SMILES INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-248-2669",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261001",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000261001",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Smiles International",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rodney W Lee, M.D.
• Staci M Lee, MD
• Kaitlyn Leenheers, PA-C
• Kimberly Marie Lefore, NCMMT
• Legacy Living Enterprises, LLC
• Laurie J Legocki, PHD
• Dustin Lehman, LCPC
• Loretta Kathryn Lehman, LMT
• David R. Lehnherr, MD
• Cheryl Leicht, LCPC

• General Practice Dentistry in Billings, MT
• Providers in Billings, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.