Provider Demographics
NPI:1053494351
Name:MICHAEL A. BEIM, D.D.S., P.A.
Entity Type:Organization
Organization Name:MICHAEL A. BEIM, D.D.S., P.A.
Other - Org Name:BEIM ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:407-323-0600
Mailing Address - Street 1:345 WAYMONT CT
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3575
Mailing Address - Country:US
Mailing Address - Phone:407-323-0600
Mailing Address - Fax:407-330-0171
Practice Address - Street 1:345 WAYMONT CT
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3575
Practice Address - Country:US
Practice Address - Phone:407-323-0600
Practice Address - Fax:407-330-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 119291223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty