Provider Demographics
NPI:1033402144
Name:ZIELINSKI, SEAN PAUL (DDS)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:PAUL
Last Name:ZIELINSKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15692 SWATHMORE LN
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1055
Mailing Address - Country:US
Mailing Address - Phone:734-837-6343
Mailing Address - Fax:
Practice Address - Street 1:640 W ASH ST
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-1423
Practice Address - Country:US
Practice Address - Phone:517-676-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901020384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist