Individual provider · Type 1 NPI

Isaac Larsen Tade

Dentist · Minneapolis, MN

NPI number 1083400733 Active

Practice location

2220 Plymouth Ave N
Minneapolis, MN 55411-3600

Mailing address

2707 Garfield Ave Apt 3
Minneapolis, MN 55408-1345

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X1083400733 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1083400733

Isaac Larsen Tade's National Provider Identifier is 1083400733, issued on Apr 18, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 15, 2026.