CENTER FOR SMILE DESIGN, LTD (NPI# 1184009839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184009839 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SMILE DESIGN, LTD |
| Practice Address |
117 N Washington St Grand Forks ND 58203-3450 |
| Practice Telephone | 7017461481 |
| Practice Fax Number | 7017466201 |
| Mailing Telephone | 7017461481 |
| Mailing Fax Number | 7017466201 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | DR. JAMES O'CONNELL (PRESIDENT) |
| Authorized Official Telephone | 7017461481 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1635 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS BLUE SHIELD OF ND | 1635 | 01 |
| UNITED CONCORDIA | 000719850 | 01 | |
| ND | 41259 | 05 | |
| DELTA DENTAL | 1635 | 01 |
| Street Address |
117 N WASHINGTON ST |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58203-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699879213 | James Richard O'connell | Dentist | 117 N Washington St, Grand Forks, ND 58203-3450 | 2006-09-12 |
| 1568903243 | M.s. Johnson PC | Clinic/Center | 117 N Washington St, Grand Forks, ND 58203-3450 | 2017-03-15 |
| 1598147787 | Blake Ristvedt | Dentist | 117 N Washington St, Grand Forks, ND 58203-3450 | 2015-06-24 |
| 1740690031 | Margaret Landry | Acupuncturist | 117 N Washington St, Center for Healing and Wholeness Ste B, Grand Forks, ND 58203-3450 | 2014-05-07 |
| 1912155151 | Center for Healing and Wholeness | Clinic/Center | 117 N Washington St, Grand Forks, ND 58203-3450 | 2008-08-29 |
| 1083779029 | David C Magnuson | Acupuncturist | 117 N Washington St, Grand Forks, ND 58203-3450 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326354978 | Valley Med Flight Inc | Ambulance | 2403 Air Cargo Dr, Grand Forks, ND 58203 | 2010-08-20 |
| 1285842765 | Amanda Caroline Ostlie | Physical Therapy Assistant | 1809 5th Ave N, Grand Forks, ND 58203 | 2007-05-18 |
| 1346396314 | Carla Steen | Speech-Language Pathologist | 501 N Columbia Rd Stop 8040, Grand Forks, ND 58203 | 2007-01-25 |
| 1457408239 | Rebecca Ann Westereng | Dietitian, Registered | 725 Hamline St Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-01-04 |
| 1912063587 | Northridge Counseling Centre Inc | Counselor | 215 N 3rd Street, Suite 202a, Grand Forks, ND 58203 | 2006-12-28 |
| 1245318625 | Charles Lee Bridgeford | Dentist | 117 North Washington Street, Grand Forks, ND 58203 | 2006-11-01 |
| 1497833933 | Casey J Ryan | Internal Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2006-11-01 |
| 1033217955 | Diane Kay Baumbach | Social Worker | 2755 10th Ave N, Grand Forks, ND 58203 | 2006-09-21 |
| 1841217320 | Heidi J Philpot | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2006-07-17 |
| 1902415805 | Aura Patricia Ileto Azarcon | Student in an Organized Health Care Education/Training Program | 725 Hamline Street, Altru Family Medicine Residency, Grand Forks, ND 58203 | 2020-07-27 |
| Find all providers in zip 58203 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215465372 | Amundson Dental Associates | Clinic/Center | 2600 Demers Ave Ste 107, Grand Forks, ND 58201-4100 | 2017-06-01 |
| 1538702675 | Nord Dentistry Ltd | Clinic/Center | 2720 17th Ave S, Grand Forks, ND 58201-4008 | 2019-10-22 |
| 1568903243 | M.s. Johnson PC | Clinic/Center | 117 N Washington St, Grand Forks, ND 58203-3450 | 2017-03-15 |
| 1265872865 | Manke Family Dentistry | Clinic/Center | 2401 S Washington St, Suite B, Grand Forks, ND 58201-6747 | 2013-06-27 |
| 1578898268 | Dakota Pediatric Dentistry PC | Clinic/Center | 2812 17th Ave S, Suite F, Grand Forks, ND 58201-4048 | 2009-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093241846 | Serenity Valley Family Dentistry | Clinic/Center | 3633 Lincoln St S, Suite C, Fargo, ND 58104-7770 | 2017-05-11 |
| 1508249186 | Clausnitzer Dentistry, P.C. | Clinic/Center | 1110 College Dr Ste 108, Bismarck, ND 58501-1207 | 2015-07-01 |
| 1528455813 | Concept Dentistry, PC | Clinic/Center | 5675 26th Ave S, Suite 116, Fargo, ND 58104-8598 | 2015-04-24 |
| 1558754036 | Cristopher Turman P.C. | Clinic/Center | 521 Beaver Ave, Wishek, ND 58495-7033 | 2015-03-09 |
| 1447658950 | Heidi Nichols-johnson, Dds | Clinic/Center | 4900 Ottawa St, Suite 200, Bismarck, ND 58503-6154 | 2014-12-16 |
| 1205234721 | Bismarck Family Dental,pc | Clinic/Center | 115 W Century Ave Ste C, Bismarck, ND 58503-1403 | 2014-12-16 |
| 1902203854 | Northcreek Dental, PC | Clinic/Center | 333 Main Ave S, Hankinson, ND 58041-4100 | 2014-11-20 |
| 1992107122 | Dakota Dental | Clinic/Center | 2605 19th Ave W, Suite 102, Williston, ND 58801-2892 | 2014-09-18 |
| 1285043802 | Lidgerwood Dental Office | Clinic/Center | 19 Wiley Ave S, Lidgerwood, ND 58053-4001 | 2014-08-07 |
| 1669880845 | Lifetime Dental, PC | Clinic/Center | 321 Briggs Ave S, Suite 3, Park River, ND 58270 | 2014-07-31 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58203 |
Please comment or provide details below to improve the information on CENTER FOR SMILE DESIGN, LTD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.