Provider Demographics
NPI:1376677658
Name:WASSERMAN HENDLIN, BETH E (DDS)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:E
Last Name:WASSERMAN HENDLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 FISHCREEK RD
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-3412
Mailing Address - Country:US
Mailing Address - Phone:518-943-9090
Mailing Address - Fax:518-943-6853
Practice Address - Street 1:11 BOULEVARD AVE
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-1720
Practice Address - Country:US
Practice Address - Phone:518-943-9090
Practice Address - Fax:518-943-6853
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0404531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice