Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 00202670 | CO |
Y | 1223X0400X | Orthodontists | 7949 | MT |
N | 1223X0400X | Orthodontists | 8800 | TN |
NPI | 1043317902 |
---|---|
Provider Name | Brent L Leggett |
First Address | Billings, MT 59102-8626 |
Second Address | Billings, MT 59102-8626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/02/2016 |