MEDICARE: SMILE DOCTORS OF NORTH DAKOTA, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1811740921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILE DOCTORS OF NORTH DAKOTA, P.C.

Provider Business Mailing Address
First Line	:	5400 LBJ FWY STE 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-1058
Country	:	US
Telephone Number	:	817-988-3476
Fax Number	:

Provider Business Practice Location Address
First Line	:	4212 BOULDER RIDGE RD
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58503-6162
Country	:	US
Telephone Number	:	701-751-8444
Fax Number	:

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	DR. GREGORY G. GOGGANS
Credential	:	D.M.D.
Telephone Number	:	386-264-3925

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	01/16/2026

Similar Medicare Providers

1962767772 — DENISE WETZEL DPT
Practice Location Address:

4204 BOULDER RIDGE RD STE 100
BISMARCK, ND
58503-6162

Practice Phone: 701-751-3064
Practice Fax:

1598373581 — DR. JORDAN BRUMMOND DDS
Practice Location Address:

4204 BOULDER RIDGE RD STE 140
BISMARCK, ND
58503-6162

Practice Phone: 701-751-7300
Practice Fax: 701-250-0557

1033582259 — LAUREN K MILOVITCH-SERA DPT
Practice Location Address:

OPTIMUM THERAPIES OF NORTH DAKOTA. INC , 4204 BOULDER RIDGE RD, SUITE 100
BISMARK, ND
58503-6162

Practice Phone: 701-751-3064
Practice Fax: 701-751-2265

1114885613 — RACHEL L MORIN
Practice Location Address:

300 W CENTURY AVE STE B
BISMARCK, ND
58503-4900

Practice Phone: 701-654-9852
Practice Fax:

1710779780 — MADISON MAE MORRELL
Practice Location Address:

3032 PROMONTORY DR
BISMARCK, ND
58503-0978

Practice Phone: 701-222-1286
Practice Fax:

1821472531 — RACHEL M GRUENBERG FNP-C
Practice Location Address:

1800 E INTERSTATE AVE
BISMARCK, ND
58503-1399

Practice Phone: 701-323-8800
Practice Fax:

Directions to “SMILE DOCTORS OF NORTH DAKOTA, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.