Isaacson Dental Center PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ISAACSON DENTAL CENTER PLLC

Practice address

5270 W 84TH St Ste 360
Bloomington, MN 55437-1377

Phone

(612) 281-6830

NPI assigned

Apr 7, 2021

Last updated

Apr 7, 2021By 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. Timothy John Isaacson, DDSNPI 1396817482

Title

Chief Manager

Phone

(612) 281-6830

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, and the practitioner matching its NPPES authorized official.

• Timothy John Isaacson, D.D.S.

  • General Practice Dentistry
  • Bloomington, MN
  • NPI 1396817482
  NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1871172726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 W 84TH ST STE 360",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371377",
            "telephone_number": "612-281-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 W 84TH ST STE 360",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371377",
            "telephone_number": "612-281-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAACSON DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "612-281-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Service Inc
• Intelligent Design Wellness PLLC
• Internal Expressions in Psychology, LLC
• International Maternal Care Initiative
• Ikram Mohammad Irfanullah, MD
• Dana John Isaacson, D.D.S.
• Timothy John Isaacson, D.D.S.
• Isaiah Residential Care Services LLC (Isaiah Residential Care Services)
• Dorothee M Ischler, DMFT, LMFT
• Viktoriya A. Ishchuk, DDS

• Dental Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.