Anna M Bolanis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1151 Issued in VT

Practice address

760 West Lakeshore Drive
Suite 1
Colchester, VT 05446-1580

Phone

(802) 862-9282

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Anna M Bolanis Family Dentistry Inc

  • General Practice Dentistry
  • Colchester, VT
  • NPI 1740469345

  General Practice

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164571402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WEST LAKESHORE DRIVE",
            "address_2": "SUITE 1",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054461580",
            "telephone_number": "802-862-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WEST LAKESHORE DRIVE",
            "address_2": "SUITE 1",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054461580",
            "telephone_number": "802-862-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANIS",
        "first_name": "ANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003605",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Vincent Bertocci, MD
• Rebecca Lynne Bissonette, P.T.
• Timothy Bissonette, PT
• Leora Elizabeth Black, PH.D.
• Courtney Bliese, DC
• Jessica Jean Bolduc, OT
• Nicole Bonneau
• Lindsey Bonsall, OTR
• Jenna Bora
• Stephanie Borts, LICSW

• All providers in Colchester, VT
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.