Dakota Dental Associates Pc is a Dental Clinic in Grand Forks, North Dakota. It is located at 4000 17th Ave S, Grand Forks, ND and its contact number is 701-775-0641. The authorized person for Dakota Dental Associates Pc is Dr. Paul Thomas Bothun
who is President - Owner of the clinic and their contact number is 701-775-0641.
Dakota Dental Associates Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Dakota Dental Associates Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Dakota Dental Associates Pc |
| Specialization: | Dentistry |
| Clinic Address: | 4000 17th Ave S, Grand Forks,
North Dakota, 58201-3905 |
| Phone: | 701-775-0641 |
| Fax: | 701-746-9328 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Paul Thomas Bothun |
| Position: | President - Owner |
| Contact Number: | 701-775-0641 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dakota Dental Associates Pc clinic are as mentioned below.
| NPI Number: | 1417067919 |
| NPI Enumeration Date: | 30 Aug, 2006 |
| NPI Last Update On: | 23 May, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dakota Dental Associates Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 788399 | Other | | United Concordia |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dakota Dental Associates Pc
4000 17th Ave S,
Grand Forks, North Dakota |
| Zip: | 58201-3905 |
| Phone Number: | 701-775-0641 |
| Fax Number: | 701-746-9328 |
Patients can reach Dakota Dental Associates Pc at
4000 17th Ave S, Grand Forks, North Dakota or can
call to book an appointment on 701-775-0641.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.