Individual
DR. PAUL THOMAS BOTHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
DAKOTA DENTAL ASSOCIATES PC, 4000 17TH AVE S, GRAND FORKS, ND 58201-3905
(701) 775-0641
(701) 746-9328
Mailing address
DAKOTA DENTAL ASSOCIATES PC, 4000 17TH AVE S, GRAND FORKS, ND 58201-3905
(701) 775-0641
(701) 746-9328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1791
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
788399
UNITED CONCORDIA
—
01
—
901791
DENTAL SERVICES CORP
ND
Enumeration date
08/30/2006
Last updated
05/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us