Provider Demographics
NPI:1902586415
Name:TONARELLI, ISABELLA (DMD)
Entity type:Individual
Prefix:DR
First Name:ISABELLA
Middle Name:
Last Name:TONARELLI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 LEXINGTON AVE N APT 211
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2081
Mailing Address - Country:US
Mailing Address - Phone:815-641-2760
Mailing Address - Fax:
Practice Address - Street 1:2575 HAMLINE AVE N STE F
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55113-3175
Practice Address - Country:US
Practice Address - Phone:651-636-2373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND152961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty