| Smile Doctors Of North Dakota, P.c. | |
|
4212 Boulder Ridge Rd Bismarck ND 58503-6162 | |
| (701) 751-8444 | |
| Not Available |
| Full Name | Smile Doctors Of North Dakota, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4212 Boulder Ridge Rd, Bismarck, North Dakota |
| Authorized Official Name and Position | Gregory G. Goggans (PRESIDENT) |
| Authorized Official Contact | 8179883476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Doctors Of North Dakota, P.c. 5400 Lbj Fwy Ste 800 Dallas TX 75240-1058 Ph: (817) 988-3476 | Smile Doctors Of North Dakota, P.c. 4212 Boulder Ridge Rd Bismarck ND 58503-6162 Ph: (701) 751-8444 |
| NPI Number | 1811740921 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811740921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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