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Contact Information

TED M BEAUCHAMP, DDS
853 MEDICAL DR STE 112
WENTZVILLE, MO63385-3825
 Phone: 636-487-0122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TED M BEAUCHAMP · (Male)

NPI # 1518198019
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/31/2009
Last updated 12/18/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2009013186
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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