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Legacy Smiles is a family and cosmetic dentist in Billings, MT, serving patients of all ages with comprehensive dental care including emergency services, restorative dentistry, and cosmetic enhancements.

About Legacy Smiles
Neurodivergent children, toddlers, and families with several kids in treatment get extra patience here, with Dr. Kolten Astle handling both routine visits and after-hours emergencies.
Legacy Smiles is a general dental practice in Billings that also offers Invisalign, traditional braces, clear aligners, and TMJ treatment. Reviews describe particular attentiveness toward children, including a neurodivergent child given extra chair time and toddlers who tolerate visits without complaint, along with families managing several kids' appointments at once. Dr. Kolten Astle is noted for handling emergency extractions personally and staying in touch with patients during urgent situations. Reviews also mention a membership discount plan and payment options that help offset costs, including for a patient without insurance.
Summary of 130 patient reviews, December 2012–September 2026, updated September 2026
Legacy Smiles is a family and cosmetic dentist in Billings, MT, serving patients of all ages with comprehensive dental care including emergency services, restorative dentistry, and cosmetic enhancements.
The practice has been established since 1988 and emphasizes personalized, unhurried care with modern technology like same-day crowns.
Treatments offered
Who They Treat
Legacy Smiles provides orthodontic treatment for the following age groups:
Technology & Equipment
Legacy Smiles uses modern orthodontic technology to deliver precise, comfortable treatment.
Orthodontists at this office
Dr. Kolten Astle, DMD
NPI verified · no bio or photo on file
Insurance accepted
2 plans listedWhat patients say
Latest review 8 weeks ago
What patients praise
Who it suits
Doctors patients mention
Orthodontic care in reviews
Few reviews discuss orthodontic treatment specifically; the feedback above reflects general dental visits.
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| Theme | Praise | Criticism |
|---|---|---|
| Friendly staff | 55 | 0 |
| The dentist | 42 | 0 |
| Gentle, comfortable care | 25 | 0 |
| Clear explanations | 18 | 0 |
| Great with kids | 10 | 0 |
| Cost, insurance & financing | 9 | 1 |
| Treatment results | 9 | 0 |
| Scheduling & wait times | 8 | 0 |
Recent reviews from Google
Im glad I found this place! For my kids, and eventually for myself. Such a great 1st impression. They helped and worked diligently to get my kids records from a previous place, that i felt was giving me a bit of a go around.Then provided free consultation, and confirmed the other place was absolutely taking me for my $! But now im here. My 7 yr old got her first filling and Dr. Colton knows what he's doing! It didn't phase my child she was getting a shot. Thank you Legacy Smiles!! I look forward to my kids and i being a long time customers.
Legacy Smiles provided me with another outstanding pain-free experience, and I will continue to recommend them to all my friends and family members. Thank you for the excellent customer service and care.
These are absolutely wonderful people! Very welcoming and professional. They do great work and it is a very calming environment. I will be keeping Legacy for all of my dental work. Thank you all!!
Everyone in the office is wonderful, friendly, and helpful. I cannot possibly say enough good things about them.
Such a great experience! The people were friendly and kept me informed the entire way. I can’t recommend them enough!
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