MEDICARE: LEGACY SMILES INTERNATIONAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	1882	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316475106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGACY SMILES INTERNATIONAL

Provider Business Mailing Address
First Line	:	2700 GRAND AVE STE D
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2682
Country	:	US
Telephone Number	:	406-248-2669
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 GRAND AVE STE D
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2682
Country	:	US
Telephone Number	:	406-248-2669
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL W STUART
Credential	:	DDS
Telephone Number	:	406-248-2669

Provider Enumeration Date	:	05/24/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1558101378 — MT SPECIALTY DENTAL SERVICES, PLLC
Practice Location Address:

2700 GRAND AVE STE B
BILLINGS, MT
59102-2682

Practice Phone: 406-652-5550
Practice Fax:

1962739649 — BILLINGS WEST GENERAL DENTISTRY
Practice Location Address:

2700 GRAND AVE STE F
BILLINGS, MT
59102-2682

Practice Phone: 406-245-9556
Practice Fax: 406-245-5113

1942516349 — REBECCA A RATH DMD
Practice Location Address:

2700 GRAND AVE STE E
BILLINGS, MT
59102-2682

Practice Phone: 406-652-9204
Practice Fax:

1346631249 — DR. TANNER DOUGLAS BENNION DDS
Practice Location Address:

2700 GRAND AVE STE B
BILLINGS, MT
59102-2682

Practice Phone: 801-368-9811
Practice Fax:

1518495845 — CORE DENTAL CARE
Practice Location Address:

2700 GRAND AVE STE C
BILLINGS, MT
59102-2682

Practice Phone: 406-652-9100
Practice Fax:

1083126932 — MARGARET HYAMS DDS
Practice Location Address:

2700 GRAND AVE STE F
BILLINGS, MT
59102-2682

Practice Phone: 406-245-9556
Practice Fax:

Directions to “LEGACY SMILES INTERNATIONAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.