Provider Demographics
NPI:1962722629
Name:BIENEMAN, JAMES PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:BIENEMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:771 SOUTHPARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5709
Mailing Address - Country:US
Mailing Address - Phone:303-797-0832
Mailing Address - Fax:303-797-0870
Practice Address - Street 1:6650 S. VINE STREET
Practice Address - Street 2:SUITE 220
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121
Practice Address - Country:US
Practice Address - Phone:303-797-0832
Practice Address - Fax:303-797-0870
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8876122300000X
CO201891122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist