Healthcare Provider Details

I. General information

NPI: 1922412527
Provider Name (Legal Business Name): HEATHER BEERS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER BURNS DMD

II. Dates (important events)

Enumeration Date: 06/12/2014
Last Update Date: 09/05/2022
Certification Date: 09/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 E MARSHALL ST STE 100
WEST CHESTER PA
19380-4400
US

IV. Provider business mailing address

795 E MARSHALL ST STE 100
WEST CHESTER PA
19380-4400
US

V. Phone/Fax

Practice location:
  • Phone: 610-918-2400
  • Fax:
Mailing address:
  • Phone: 610-918-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDS040214
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: