Provider Demographics
NPI:1427158153
Name:BLUESTEIN, EVE (MD, DDS)
Entity type:Individual
Prefix:DR
First Name:EVE
Middle Name:
Last Name:BLUESTEIN
Suffix:
Gender:F
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6915 CONIFER CT
Mailing Address - Street 2:
Mailing Address - City:NIWOT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-8665
Mailing Address - Country:US
Mailing Address - Phone:303-938-1161
Mailing Address - Fax:303-539-9875
Practice Address - Street 1:6915 CONIFER CT
Practice Address - Street 2:
Practice Address - City:NIWOT
Practice Address - State:CO
Practice Address - Zip Code:80503-8665
Practice Address - Country:US
Practice Address - Phone:303-938-1161
Practice Address - Fax:303-539-9875
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300207651223S0112X
CO39080204E00000X, 2082S0099X
CO83121223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck