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BISMARCK STATE COLLEGE
NPI 1285450544
Dentist - Pediatric Dentistry in Bismarck, ND

Active since December 02, 2024
210 W CENTURY AVE, BISMARCK, ND 58503(701) 224-2644 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2024, Dec 2, 2024 (2 updates tracked since 2024).

About Bismarck State College NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BISMARCK STATE COLLEGE (NPI 1285450544) is a healthcare organization registered as a pediatric dentistry in Bismarck, North Dakota and active in the NPI registry since December 2024. The organization lists Heidi Kainoa, Dental Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1285450544
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBISMARCK STATE COLLEGE
Location Address210 W CENTURY AVEBismarck, ND 58503-1494
Mailing Address210 W Century AveBismarck, ND 58503-1494 · (701) 224-2644
Phone(701) 224-2644
Organization SubpartNo
Authorized OfficialHeidi KainoaDental Clinic Manager · (701) 224-2644
Enumeration DateDecember 2, 2024
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1285450544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
210 W CENTURY AVE, Bismarck, ND 58503
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Other Names 1

Other NameMystics Smiles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN DEISZ DMD
Dentist
210 W CENTURY AVE
BISMARCK, ND 58503
Burleigh County (701) 223-3694
KATIE CHRISTINE STEWART DDS
Dentist
210 W CENTURY AVE
BISMARCK, ND 58503
Burleigh County (701) 223-3694

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bismarck State College's NPI number?

The NPI number for Bismarck State College is 1285450544. It was assigned to this organization in the NPPES registry on December 2, 2024. The provider is also known as Mystics Smiles.

Where is Bismarck State College located?

Bismarck State College is located at 210 W Century Ave, Bismarck, ND 58503. The listed phone number is (701) 224-2644.

What is Bismarck State College's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Bismarck State College was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.