Healthcare Provider Details

I. General information

NPI: 1023921228
Provider Name (Legal Business Name): BEAM DENTAL MV, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 S MOREHALL #700B
MALVERN PA
19355
US

IV. Provider business mailing address

2044 CENTER AVE 3RD FLOOR
FORT LEE NJ
07024
US

V. Phone/Fax

Practice location:
  • Phone: 484-564-5247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: POOJA SETHI
Title or Position: OWNER
Credential: DDS
Phone: 201-509-1032