Organization Active NPI

Smith Pediatric Dentistry

Doing business as North Dakota Pediatric Dentistry

  • Pediatric Dentistry
  • Williston, ND
National Provider Identifier
1972825685
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5602607-9923 Issued in UT
Legal business name
SMITH PEDIATRIC DENTISTRY
Doing business as
North Dakota Pediatric Dentistry
Practice address
2204 2ND Ave W
Williston, ND 58801-3485
Phone
(701) 360-7510
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nathan England Smith, DDSNPI 1811918329
Title
Owner
Phone
(801) 885-2703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5602607-9923 UT Primary

Addresses

Primary practice location

2204 2ND Ave W
Williston, ND 58801-3485

Mailing address

5594 W 9660 N
Highland, UT 84003-4809
Phone (801) 885-2703

Other practice location 1

1770 Market Dr Ste C
Dickinson, ND 58601-6168
Phone (701) 360-7510

Other names 1

  • North Dakota Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Dakota Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1972825685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5594 W 9660 N",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840034809",
            "telephone_number": "801-885-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013485",
            "telephone_number": "701-360-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 Market Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586016168",
            "country_code": "US",
            "telephone_number": "701-360-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMITH PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ENGLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-885-2703",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "5602607-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Dakota Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.