BISMARK LAKE LLC
NPI 1285576058
Clinic/Center - Dental in Goodyear, AZ

Active since April 08, 2026
14175 W INDIAN SCHOOL RD STE B6, GOODYEAR, AZ 85395(602) 902-0275 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bismark Lake Llc NPPES

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

BISMARK LAKE LLC (NPI 1285576058) is a healthcare organization registered as a dental in Goodyear, Arizona and active in the NPI registry since April 2026. The organization lists Michael Hunt, Owner, as its authorized official.

NPPES Registry Identity

NPI1285576058
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBISMARK LAKE LLC
Location Address14175 W INDIAN SCHOOL RD STE B6Goodyear, AZ 85395-8490
Mailing Address1786 S 141st PlGilbert, AZ 85295-4752
Organization SubpartNo
Authorized OfficialMichael HuntOwner · (480) 280-4416
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
NPI 1285576058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
14175 W INDIAN SCHOOL RD STE B6, Goodyear, AZ 85395

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
14175 W INDIAN SCHOOL RD STE B6
GOODYEAR, AZ 85395

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 Bismark Lake LLC's NPI number?

The NPI number for Bismark Lake LLC is 1285576058. It was assigned to this organization in the NPPES registry on April 8, 2026.

Where is Bismark Lake LLC located?

Bismark Lake LLC is located at 14175 W Indian School Rd Ste B6, Goodyear, AZ 85395. The listed phone number is (602) 902-0275.

What is Bismark Lake LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bismark Lake LLC was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.