Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dakota Dental Associates PC

Organization Dentist · NPI 1417067919

Dakota Dental Associates PC provides Dentist services in Grand Forks, North Dakota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 17th Ave S
Grand Forks, ND 58201-3905 Not confirmed with CMS for 10 years — call before visiting
Phone: (701) 775-0641
Fax: (701) 746-9328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1417067919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Bothun — President - Owner · (701) 775-0641
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 23, 2016
Mailing address4000 17th Ave S, Grand Forks, ND 58201-3905

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