OrganizationActive
Dakota Dental Associates PC
NPI 1417067919 · Dentist · Grand Forks, ND
Dakota Dental Associates PC is a Dentist organization in Grand Forks, ND (NPI 1417067919).
Provider details
- NPI number
- 1417067919
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Paul Bothun, President - Owner(701) 775-0641
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4000 17th Ave S
Grand Forks, ND 58201-3905
Phone: (701) 775-0641
Fax: (701) 746-9328
Street-level locationGet directions
Mailing address
4000 17th Ave S
Grand Forks, ND 58201-3905
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2016-05-23
Frequently asked questions
- What is Dakota Dental Associates PC's NPI number?
- Dakota Dental Associates PC's National Provider Identifier (NPI) is 1417067919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dakota Dental Associates PC?
- Dakota Dental Associates PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dakota Dental Associates PC located?
- Dakota Dental Associates PC's practice location on file with NPPES is 4000 17th Ave S, Grand Forks, ND 58201-3905.
- What is Dakota Dental Associates PC's phone number?
- The practice phone number listed in the NPPES registry for Dakota Dental Associates PC is (701) 775-0641.
- Who is the authorized official for Dakota Dental Associates PC?
- The authorized official listed on Dakota Dental Associates PC's NPPES record is Paul Bothun, President - Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dakota Dental Associates PC's NPI active?
- Yes — Dakota Dental Associates PC's NPI (1417067919) is active in the NPPES registry as of the last update on 2016-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.