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Active NPI 1396817482 Individual Practitioner Male Practitioner

Dr. Timothy John Isaacson , DDS

Dentist - General Practice • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Isaacson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bloomington, MN. Practice services are available at 4200 W OLD SHAKOPEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4200 W Old Shakopee Rd
Suite 223

Bloomington, MN 554372976

Telephone 9528818404
Fax 9528819520
Associated Practice Facility / Clinic
🏢 Pdg,p.a. Facility NPI 1306912480

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
38 Specialists

Practicing in Bloomington, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN 11656

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1154989770

Doctor of Dental Surgery

Saad Shaikh , MDT, BSDH

Dental Therapist

NPI 1376430561
Dr. Edmund Theis , DDS

Dentist - General Practice

NPI 1447322532

Doctor of Dental Surgery

Dr. Dana Isaacson , DDS

Dentist - General Practice

NPI 1558433748

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address July 21, 2021

Registered at 5270 W 84TH ST STE 360, BLOOMINGTON, MN 554371377 (Tel: 1612249688)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4200 W OLD SHAKOPEE RD, SUITE 223, BLOOMINGTON, MN 554372976 (Tel: 9528818404)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4200 W OLD SHAKOPEE RD, SUITE 223, BLOOMINGTON, MN 554372976 (Tel: 9528818404)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY ISAACSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #11656 in MN)

🟢
Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396817482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: July 21, 2021
Sole Proprietor: No

Mailing Address

5270 W 84th St Ste 360

Bloomington, MN 554371377

Phone: 1612249688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.