Healthcare Provider Details

I. General information

NPI: 1710554597
Provider Name (Legal Business Name): MARGOT ALEXIS BEERMAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGOT BEERMAN YOST DDS

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4428 CONLIN ST SIDE B
METAIRIE LA
70006-2184
US

IV. Provider business mailing address

559 BROCKENBRAUGH CT
METAIRIE LA
70005-2709
US

V. Phone/Fax

Practice location:
  • Phone: 504-608-6362
  • Fax:
Mailing address:
  • Phone: 504-234-3217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7177
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7177
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: