Healthcare Provider Details

I. General information

NPI: 1023661261
Provider Name (Legal Business Name): LYNSIE S BEILMAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2019
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 E COLVIN ST
SYRACUSE NY
13210-3407
US

IV. Provider business mailing address

2217 E COLVIN ST
SYRACUSE NY
13210-3407
US

V. Phone/Fax

Practice location:
  • Phone: 315-446-6477
  • Fax:
Mailing address:
  • Phone: 607-591-1205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number063007
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: