NPI 1306374277 · live from the CMS NPI Registry
Christopher Paul Bothun, DDS
Dentist in Grand Forks, ND. National Provider Identifier 1306374277, active.
NPI record
| NPI | 1306374277 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 4000 17th Ave S, Grand Forks, ND 58201 |
| Practice phone | 701-775-0641 |
| Enumerated | May 23, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 2312 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.