Dakota Dental Associates Pc in Grand Forks - Dentist
Dakota Dental Associates Pc - NPI 1417067919
Dakota Dental Associates Pc is a Dentist in Grand Forks, North Dakota. Dakota Dental Associates Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dakota Dental Associates Pc is 1417067919. The last update date is 2016-05-23.
Dakota Dental Associates Pc's current location address is 4000 17th Ave S, Grand Forks, North Dakota. You can contact this provider via phone number 7017750641 and fax number 7017469328. The mailing address for Dakota Dental Associates Pc is 4000 17th Ave S, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dakota Dental Associates Pc |
|---|---|
| Address | 4000 17th Ave S, Grand Forks, North Dakota |
| Phone Number | 7017750641 |
| Fax Number | 7017469328 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bothun Thomas Paul |
| Credentials | DDS |
| Telephone Number | 7017750641 |
NPI Number Detail
| NPI Number | 1417067919 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2016-05-23 |
Provider Mailing Address Detail
| Address | 4000 17th Ave S |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582013905 |
| Phone Number | 7017750641 |
| Fax Number | 7017469328 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
|
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: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 788399 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dakota Dental Associates Pc by the Centers for Medicare & Medicaid Services?
The Dakota Dental Associates Pc has been assigned the NPI (National Provider Identifier) 1417067919 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dakota Dental Associates Pc is physically located?
The Dakota Dental Associates Pc is situated at the following address: 4000 17Th Ave S, Grand Forks, ND 582013905.
What is Dakota Dental Associates Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dakota Dental Associates Pc is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When did the Dakota Dental Associates Pc receive its 1417067919?
The Dakota Dental Associates Pc was issued its 1417067919 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Dakota Dental Associates Pc last refreshed?
The information related to the Dakota Dental Associates Pc, including its address, specialty, and other relevant details, was last updated on 2016-05-23.