National Provider Identifier

Andrea Marie Beanan, DDS

Andrea Marie Beanan, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Elma, NY and a listed phone number of (716) 652-0411.

NPI 1477840502Elma, NYGeneral Practice Dentistry

Profile Overview

NPI
1477840502
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
July 10, 2011
Last Updated
September 17, 2014

Practice Location

  • 2185 Bullis RD
  • Elma, NY 14059-9200

Phone: (716) 652-0411

Mailing Address

  • 2185 Bullis RD
  • P.O. Box 86
  • Elma, NY 14059-9200

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1477840502
Entity Type
Individual
Last Name
Beanan
First Name
Andrea
Middle Name
Marie
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
2185 Bullis RD
Mailing Address Line 2
P.O. Box 86
Mailing City
Elma
Mailing State
NY
Mailing ZIP Code
14059-9200
Mailing Country
US
Mailing Phone
(716) 652-0411
Practice Street Address
2185 Bullis RD
Practice City
Elma
Practice State
NY
Practice ZIP Code
14059-9200
Practice Country
US
Practice Phone
(716) 652-0411
Enumeration Date
July 10, 2011
Last Updated
September 17, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)