Provider Demographics
NPI:1407278062
Name:BIERMAN AND MA DENTAL PARTNERSHIP A GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:BIERMAN AND MA DENTAL PARTNERSHIP A GENERAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:BIERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-975-0257
Mailing Address - Street 1:6635 FLANDERS DR STE E
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2978
Mailing Address - Country:US
Mailing Address - Phone:858-457-4100
Mailing Address - Fax:858-457-5200
Practice Address - Street 1:6635 FLANDERS DR STE E
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2978
Practice Address - Country:US
Practice Address - Phone:858-457-4100
Practice Address - Fax:858-457-5200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA629671223G0001X
CA629081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty