Black Bear Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLACK BEAR DENTAL LLC

Practice address

2901 Pioneer Ave
Rice Lake, WI 54868-2434

Phone

(715) 609-2461

Fax

(920) 626-6377

NPI assigned

Nov 24, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jason William Isaacson, DDSNPI 1588892368

Title

Owner/Dentist

Phone

(715) 609-2461

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason W Isaacson, DDS

  • General Practice Dentistry
  • Rice Lake, WI
  • NPI 1588892368
  NPD Authorized official

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1083575492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PIONEER AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682434",
            "telephone_number": "715-609-2461",
            "fax_number": "920-626-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PIONEER AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682434",
            "telephone_number": "715-609-2461",
            "fax_number": "920-626-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK BEAR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "715-609-2461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.