DAKOTA DENTAL ASSOCIATES PC
NPI 1417067919
Dentist in Grand Forks, ND

Q: What is Dakota Dental Associates PC's NPI number?

The NPI number for Dakota Dental Associates PC is 1417067919. It was assigned to this organization in the NPPES registry on August 30, 2006.

Q: What is Dakota Dental Associates PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 30, 2006

4000 17TH AVE S, GRAND FORKS, ND 58201(701) 775-0641(701) 746-9328 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dakota Dental Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAKOTA DENTAL ASSOCIATES PC (NPI 1417067919) is a healthcare organization registered as a dentist in Grand Forks, North Dakota and active in the NPI registry since August 2006. The organization lists Paul Thomas Bothun, President - Owner, as its authorized official.

NPPES Registry Identity

NPI1417067919

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDAKOTA DENTAL ASSOCIATES PC

Location Address4000 17TH AVE SGrand Forks, ND 58201-3905

Mailing Address4000 17th Ave SGrand Forks, ND 58201-3905 · (701) 775-0641 · Fax (701) 746-9328

Phone(701) 775-0641

Fax(701) 746-9328

Organization SubpartNo

Authorized OfficialPaul Thomas BothunPresident - Owner · (701) 775-0641

Enumeration DateAugust 30, 2006

Last NPPES UpdateMay 23, 2016

✔ NPI 1417067919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4000 17TH AVE S, Grand Forks, ND 58201

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Other Identifiers 1

Other788399United Concordia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER PAUL BOTHUN DDS

Dentist

4000 17TH AVE S
GRAND FORKS, ND 58201

Grand Forks County (701) 775-0641

DR. RACHEL MARIE CUMMINGS DDS

Dentist (General Practice)

4000 17TH AVE S
GRAND FORKS, ND 58201

Grand Forks County (701) 775-0641

DR. KAYLA ROSE NELSON D. D. S.

Dentist

4000 17TH AVE S
GRAND FORKS, ND 58201

Grand Forks County (701) 775-0641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dakota Dental Associates PC's NPI number?

The NPI number for Dakota Dental Associates PC is 1417067919. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Dakota Dental Associates PC located?

Dakota Dental Associates PC is located at 4000 17th Ave S, Grand Forks, ND 58201. The listed phone number is (701) 775-0641.

What is Dakota Dental Associates PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Dakota Dental Associates PC accept?

Health plans from Blue Cross Blue Shield of North Dakota list Dakota Dental Associates PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dakota Dental Associates PC was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.