Healthcare Provider Details

I. General information

NPI: 1013798677
Provider Name (Legal Business Name): MARGOT BEERMAN DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4428 CONLIN ST SIDE B
METAIRIE LA
70006-2184
US

IV. Provider business mailing address

4428 CONLIN ST SIDE B
METAIRIE LA
70006-2184
US

V. Phone/Fax

Practice location:
  • Phone: 504-888-9408
  • Fax:
Mailing address:
  • Phone: 504-888-9408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARGOT B YOST
Title or Position: OWNER
Credential: DDS
Phone: 504-234-3217