Provider Demographics
NPI:1821145723
Name:POINT FAMILY DENTISTRY, LLC
Entity Type:Organization
Organization Name:POINT FAMILY DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ISAACSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:952-881-8404
Mailing Address - Street 1:10611 FRANCE AVE S
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-3539
Mailing Address - Country:US
Mailing Address - Phone:952-881-8404
Mailing Address - Fax:952-881-9520
Practice Address - Street 1:10611 FRANCE AVE S
Practice Address - Street 2:SUITE 201
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-3539
Practice Address - Country:US
Practice Address - Phone:952-881-8404
Practice Address - Fax:952-881-9520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty