Provider Demographics
NPI:1023661261
Name:BEILMAN, LYNSIE S (DMD)
Entity type:Individual
Prefix:DR
First Name:LYNSIE
Middle Name:S
Last Name:BEILMAN
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 1:122 TOMPKINS ST
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-2429
Mailing Address - Country:US
Mailing Address - Phone:607-591-1205
Mailing Address - Fax:
Practice Address - Street 1:122 TOMPKINS ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-2429
Practice Address - Country:US
Practice Address - Phone:607-756-4574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0630071223G0001X
NC11811122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist