Provider Demographics
NPI:1558498238
Name:GEYMAN, BETHANY JILL (DDS)
Entity Type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:JILL
Last Name:GEYMAN
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 1:4450 WESTON POINTE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077
Mailing Address - Country:US
Mailing Address - Phone:317-733-0571
Mailing Address - Fax:
Practice Address - Street 1:4450 WESTON POINTE DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077
Practice Address - Country:US
Practice Address - Phone:317-733-0571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010303A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice