Dakota Dental Center, P.L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2291 Issued in ND

Legal business name

DAKOTA DENTAL CENTER, P.L.L.C.

Practice address

20 1St Ave SW
Bowman, ND 58623-4213

Phone

(701) 523-5651

NPI assigned

Jan 14, 2018

Last updated

Jan 14, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Caitlin C Jacquot, D.D.S.NPI 1972954709

Title

President/Dentist

Phone

(701) 523-5651

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caitlin Jacquot, D.D.S.

  • General Practice Dentistry
  • Bowman, ND
  • NPI 1972954709
  NPD Authorized official
• Bonnie J. Anderson, D.D.S

  • Dentist
  • Bowman, ND
  • NPI 1871702282
  NPD (past)
• Weston Hafner, DDS

  • Dentist
  • Bowman, ND
  • NPI 1851740633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515888000000",
    "number": "1508374497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX E",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586230119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 1ST AVE SW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234213",
            "telephone_number": "701-523-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA DENTAL CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-14",
        "last_updated": "2018-01-14",
        "status": "A",
        "authorized_official_last_name": "JACQUOT",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "701-523-5651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "2291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A. Buchholz, LCSW
• Central RX Group LLC (Bowman Drug)
• Jenna Corsiatto, APRN
• County of Slope
• Darren Criswell, DPT
• Dakota Southwestern Wellness, P. L.L.C.
• Matthew Craig Degree, RPH
• Brianna Fleck, LAC
• Focus Eye Care Prof LLC
• Stephanie Fuchs

• Dental Clinic/Center in Bowman, ND
• Providers in Bowman, ND by specialty
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.