We are a full service general and cosmetic dental practice that has been serving the Bismarck and North Dakota community for 30 years. At Smiles by Design (formerly the Dental Health Institute), Dr. Axvig and Dr. Axvig-Dwyer feel the greatest satisfaction when they can provide superior quality cosmetic care with the latest technologies. Their fully remodeled and expanded office allows this father-daughter duo to practice side by side, which facilitates a free-flowing exchange of ideas. Smiles by Design is a family run practice, and when you come to us for your dental care, you will be treated as part of our family.