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

Bismark Lake LLC

Organization Dental Clinic/Center · NPI 1285576058

Bismark Lake LLC is a Dental Clinic/Center in Goodyear, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14175 W Indian School Rd Ste B6
Goodyear, AZ 85395-8490
Phone: (602) 902-0275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1285576058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Hunt — Owner · (480) 280-4416
NPI enumeratedApril 8, 2026
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address1786 S 141st Pl, Gilbert, AZ 85295-4752

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