Provider Demographics
NPI:1831600394
Name:BIELARSKI, KIRSTEN V
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:V
Last Name:BIELARSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ALLEN ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:PENACOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03303-1602
Mailing Address - Country:US
Mailing Address - Phone:603-259-6248
Mailing Address - Fax:
Practice Address - Street 1:16 FOUNDRY ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5431
Practice Address - Country:US
Practice Address - Phone:603-224-3339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03335124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist