Active NPI
Smith Pediatric Dentistry
Doing business as North Dakota Pediatric Dentistry
- Pediatric Dentistry
- Williston, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 5602607-9923
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan England Smith, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
National Provider Directory
National Provider Directory- Tax ID family
- North Dakota Pediatric Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Dickinson, ND
- NPI 1386561355
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.
-
- Pediatric Dentistry
- Williston, ND
- NPI 1811918329
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.