# DAKOTA ENT, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043272529
- **Authorized official:** DR. BRAD R BUELL MD (PHYSICIAN PRESIDENT)
- **Authorized official phone:** (701) 223-1967

## Contact information

- **Practice address:** 810 E ROSSER AVE, SUITE 401, BISMARCK, ND 58501-4463
- **Practice address phone:** (701) 223-1967
- **Practice address fax:** (701) 223-6597
- **Mailing address:** 810 E ROSSER AVE, SUITE 401, BISMARCK, ND 58501-4463
- **Mailing address phone:** (701) 223-1967
- **Mailing address fax:** (701) 223-6597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 4128 | ND | Yes |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 02/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 014275 | — | ND |