Provider Demographics
NPI:1437118460
Name:BEERS, EDA MARIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:EDA
Middle Name:MARIA
Last Name:BEERS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3152
Mailing Address - Country:US
Mailing Address - Phone:727-547-7780
Mailing Address - Fax:727-549-6440
Practice Address - Street 1:6350 76TH AVE
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3152
Practice Address - Country:US
Practice Address - Phone:727-547-7780
Practice Address - Fax:727-549-6440
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0012823122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist