Colleen Ann Israelson, D.D.S.

General Practice Dentistry · Cottage Grove, MN

Individual Active NPI

NPI number 1396813853

Practice location

8063 Hadley Ave S
Upper Level
Cottage Grove, MN 55016-2652
Phone
(651) 459-4894
Fax
(651) 458-4940

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NPI record

NPI
1396813853
Entity type
Individual (Type 1)
Enumeration date
December 1, 2006
Last updated
March 24, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D10501 MN

Mailing address

9314 9TH St N
Lake Elmo, MN 55042-9739
Phone
(651) 738-9630

About Dr. Israelson

Colleen Ann Israelson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8063 Hadley Ave S, Upper Level, Cottage Grove, MN 55016-2652. The NPI number 1396813853 was assigned on December 1, 2006 and the record was last updated on March 24, 2008.

Dr. Israelson lists a license in the registry: #D10501 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Colleen Ann Israelson, D.D.S.?

The NPI number is 1396813853.

What is the phone number of Dr. Israelson?

The phone number listed for the practice location is (651) 459-4894.

Where is Dr. Israelson located?

8063 Hadley Ave S, Upper Level, Cottage Grove, MN 55016-2652.

What is the taxonomy code for Dr. Israelson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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