Individual
DR. TIMOTHY JOHN ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4200 W OLD SHAKOPEE RD, SUITE 223, BLOOMINGTON, MN 55437-2976
(952) 881-8404
(952) 881-9520
Mailing address
5270 W 84TH ST STE 360, BLOOMINGTON, MN 55437-1377
(161) 224-9688
(952) 881-9520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11656
MN
Other
Enumeration date
11/14/2006
Last updated
07/21/2021
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