Provider Demographics
NPI:1245611185
Name:ZIELINSKI, CAROLINE CONSTANCE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:CONSTANCE
Last Name:ZIELINSKI
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 1:571 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1439
Mailing Address - Country:US
Mailing Address - Phone:570-822-7312
Mailing Address - Fax:
Practice Address - Street 1:571 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1439
Practice Address - Country:US
Practice Address - Phone:570-822-7312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS040421122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist