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General NPI Number Information
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NPI Number | 1962722629
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Entity Type | Individual
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Provider Name | JAMES PAUL BIENEMAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 6650 S. VINE STREET SUITE 220
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City | CENTENNIAL
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State | CO
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Zip | 80121
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Country | US
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Telephone | 303-797-0832
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Fax | 303-797-0870
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Provider Business Mailing Address
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Address Line | 771 SOUTHPARK DR STE 100
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City | LITTLETON
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State | CO
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Zip | 80120-5709
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Country | US
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Telephone | 303-797-0832
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Fax | 303-797-0870
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8876
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 201891
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License Number State | CO
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