Legendary Smiles Dental Group
NPI 1104658079 · Dental Clinic/Center · Watford City, ND
Legendary Smiles Dental Group is a Dental Clinic/Center organization in Watford City, ND (NPI 1104658079).
Provider details
- NPI number
- 1104658079
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Monty Bulzomi, Dentist(701) 842-4474
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Legendary Smiles
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Frequently asked questions
- What is Legendary Smiles Dental Group's NPI number?
- Legendary Smiles Dental Group's National Provider Identifier (NPI) is 1104658079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legendary Smiles Dental Group?
- Legendary Smiles Dental Group is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Legendary Smiles Dental Group located?
- Legendary Smiles Dental Group's practice location on file with NPPES is 361 N Main St, Watford City, ND 58854-7311.
- What is Legendary Smiles Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Legendary Smiles Dental Group is (701) 842-4474.
- Who is the authorized official for Legendary Smiles Dental Group?
- The authorized official listed on Legendary Smiles Dental Group's NPPES record is Monty Bulzomi, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legendary Smiles Dental Group's NPI active?
- Yes — Legendary Smiles Dental Group's NPI (1104658079) is active in the NPPES registry as of the last update on 2024-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.