Provider Demographics
NPI:1922174200
Name:BEER-EDELMAN, SANDRA JOANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:JOANN
Last Name:BEER-EDELMAN
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 1:1901 RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1231
Mailing Address - Country:US
Mailing Address - Phone:610-373-3720
Mailing Address - Fax:610-373-7014
Practice Address - Street 1:1901 RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1231
Practice Address - Country:US
Practice Address - Phone:610-373-3720
Practice Address - Fax:610-373-7014
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-029967L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice