Provider Demographics
NPI:1093854432
Name:BEER, HANS-CHRISTOPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:HANS-CHRISTOPH
Middle Name:
Last Name:BEER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01073-0156
Mailing Address - Country:US
Mailing Address - Phone:413-527-7073
Mailing Address - Fax:
Practice Address - Street 1:16 POMEROY MEADOW RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01073-0156
Practice Address - Country:US
Practice Address - Phone:413-527-7073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA121601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX04963OtherBC&BS OF MA