Provider Demographics
NPI:1710554597
Name:BEERMAN, MARGOT ALEXIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGOT
Middle Name:ALEXIS
Last Name:BEERMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MARGOT
Other - Middle Name:BEERMAN
Other - Last Name:YOST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:559 BROCKENBRAUGH CT
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2709
Mailing Address - Country:US
Mailing Address - Phone:504-234-3217
Mailing Address - Fax:
Practice Address - Street 1:4428 CONLIN ST SIDE B
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2184
Practice Address - Country:US
Practice Address - Phone:504-608-6362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA71771223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA7177OtherDENTAL LICENSE NUMBER