Provider Demographics
NPI:1376073635
Name:BIELINSKI, ANNE MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:BIELINSKI
Suffix:
Gender:F
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:PO BOX 514
Mailing Address - Street 2:
Mailing Address - City:BENNETT
Mailing Address - State:CO
Mailing Address - Zip Code:80102-0514
Mailing Address - Country:US
Mailing Address - Phone:303-644-5058
Mailing Address - Fax:303-644-5270
Practice Address - Street 1:280 E. COLFAX AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BENNETT
Practice Address - State:CO
Practice Address - Zip Code:80102
Practice Address - Country:US
Practice Address - Phone:303-644-5058
Practice Address - Fax:303-644-5270
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002031751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNO OTHER PROVIDER IDENTIFIERS