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BLACK BEAR DENTAL LLC
NPI 1083575492
Dentist - General Practice in Rice Lake, WI

Active since November 24, 2025
2901 PIONEER AVE, RICE LAKE, WI 54868(715) 609-2461(920) 626-6377 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Bear Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK BEAR DENTAL LLC (NPI 1083575492) is a healthcare organization registered as a general practice in Rice Lake, Wisconsin and active in the NPI registry since November 2025. The organization lists Jason William Isaacson, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1083575492
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLACK BEAR DENTAL LLC
Location Address2901 PIONEER AVERice Lake, WI 54868-2434
Mailing Address2901 Pioneer AveRice Lake, WI 54868-2434 · (715) 609-2461 · Fax (920) 626-6377
Phone(715) 609-2461
Fax(920) 626-6377
Organization SubpartNo
Authorized OfficialJason William IsaacsonOwner/dentist · (715) 609-2461
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
✔ NPI 1083575492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
2901 PIONEER AVE, Rice Lake, WI 54868
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARY ATKINSON DDS
Dentist
2901 PIONEER AVE
RICE LAKE, WI 54868
Barron County (715) 234-1073
DR. JASON W ISAACSON DDS
Dentist (General Practice)
2901 PIONEER AVE
RICE LAKE, WI 54868
Barron County (715) 609-2461
PAUL ANDREW JOHNSON DDS
Dentist (General Practice)
2901 PIONEER AVE
RICE LAKE, WI 54868
Barron County (715) 234-1073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Bear Dental LLC's NPI number?

The NPI number for Black Bear Dental LLC is 1083575492. It was assigned to this organization in the NPPES registry on November 24, 2025.

Where is Black Bear Dental LLC located?

Black Bear Dental LLC is located at 2901 Pioneer Ave, Rice Lake, WI 54868. The listed phone number is (715) 609-2461.

What is Black Bear Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Black Bear Dental LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.