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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for TED BEAUCHAMP, DDS LLC

NPI Number 1124896220
LBN Legal business name TED BEAUCHAMP, DDS LLC
Authorized official TED BEAUCHAMP - (DOCTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2023
Last updated 12/18/2023 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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