Bothun, Paul Thomas

Bothun, Paul Thomas is an sole proprietor health care provider with primary practice located at Dakota Dental Associates Pc 4000 17Th Ave S, Grand Forks ND 58201-3905. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bothun, Paul Thomas can be contacted via phone (701) 775-0641.

Contact Information

Primary practice address
Dakota Dental Associates Pc 4000 17Th Ave S Grand Forks ND 58201-3905
Phone: (701) 775-0641
Fax: (701) 746-9328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1791 North Dakota

Profile Details

NPI number 1295845790
LBN Legal business name Bothun, Paul Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated May 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295845790 NPPES
Other 788399 UNITED CONCORDIA
Other 901791 UNITED CONCORDIA

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