Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bismarck State College

Organization Pediatric Dentistry · NPI 1285450544

Bismarck State College is a Pediatric Dentistry in Bismarck, North Dakota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

210 W Century Ave
Bismarck, ND 58503-1494
Phone: (701) 224-2644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1285450544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heidi Kainoa — Dental Clinic Manager · (701) 224-2644
Other names Mystics Smiles
NPI enumeratedDecember 2, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address210 W Century Ave, Bismarck, ND 58503-1494

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