Healthcare Provider Details

I. General information

NPI: 1841110467
Provider Name (Legal Business Name): LYNSIE BEILMAN DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E COURT ST
ITHACA NY
14850-4221
US

IV. Provider business mailing address

310 E COURT ST
ITHACA NY
14850-4221
US

V. Phone/Fax

Practice location:
  • Phone: 607-882-0352
  • Fax:
Mailing address:
  • Phone: 607-882-0352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: LYNSIE BEILMAN
Title or Position: OWNER, DENTIST
Credential: DMD
Phone: 607-591-1205