Tangletown Dental

LBN: Bradley S. Isaacson, Dds, Pa
Tangletown Dental is an health care organization with primary practice located at 4831 Nicollet Ave , Minneapolis MN 55419-5534. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bradley S. Isaacson, Dds, Pa can be contacted via phone (612) 822-2324, or through Isaacson, Brad S via phone (612) 822-2324.

Contact Information

Primary practice address
4831 Nicollet Ave Minneapolis MN 55419-5534
Phone: (612) 822-2324
Fax: (612) 822-6763
Website:
Map and Directions
Authorized official contact:
Name: Isaacson, Brad S Doctor of Dental Surgery (DDS)
Phone: (612) 822-2324

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 08320 Minnesota

Profile Details

NPI number 1942408778
LBN Legal business name Bradley S. Isaacson, Dds, Pa
DBA Doing business as Tangletown Dental
Authorized official Isaacson, Brad S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2007
Last updated Jan 14th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942408778 NPPES
Other 1427062819 INDIVIDUAL NPI
MEDICAID 3018382 INDIVIDUAL NPI
Other 08320 INDIVIDUAL NPI

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