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 is a Dentist 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
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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