1. Home
  2. Directory
  3. North Dakota
  4. Bismarck
  5. Dentist
  6. NPI Profile

MISSOURI RIVER DENTAL, PC
NPI 1992117501
Dentist - General Practice in Bismarck, ND

Active since May 30, 2014
1401 SKYLINE BLVD, SUITE 210, BISMARCK, ND 58503(701) 751-7177(701) 751-7178 Get Directions Write a Review

NPPES record last updated: May 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Missouri River Dental, Pc NPPES

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

MISSOURI RIVER DENTAL, PC (NPI 1992117501) is a healthcare organization registered as a general practice in Bismarck, North Dakota and active in the NPI registry since May 2014. The organization lists Timothy Alworth Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1992117501
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMISSOURI RIVER DENTAL, PC
Location Address1401 SKYLINE BLVD, SUITE 210Bismarck, ND 58503-1299
Mailing Address1401 Skyline Blvd, Suite 210Bismarck, ND 58503-1299 · (701) 751-7177 · Fax (701) 751-7178
Phone(701) 751-7177
Fax(701) 751-7178
Organization SubpartNo
Authorized OfficialTimothy Alworth AndersonPresident · (612) 619-0917
Enumeration DateMay 30, 2014
✔ NPI 1992117501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ND · 2214
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1401 SKYLINE BLVD, Bismarck, ND 58503
Open in Google Maps ↗

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

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 Missouri River Dental, PC's NPI number?

The NPI number for Missouri River Dental, PC is 1992117501. It was assigned to this organization in the NPPES registry on May 30, 2014.

Where is Missouri River Dental, PC located?

Missouri River Dental, PC is located at 1401 Skyline Blvd Suite 210, Bismarck, ND 58503. The listed phone number is (701) 751-7177.

What is Missouri River Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Missouri River Dental, PC was last updated on May 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.