| Ted Beauchamp, Dds Llc | |
|
853 Medical Dr Ste 112 Wentzville MO 63385-3825 | |
| (636) 487-0122 | |
| Not Available |
| Full Name | Ted Beauchamp, Dds Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 853 Medical Dr Ste 112, Wentzville, Missouri |
| Authorized Official Name and Position | Ted Michael Beauchamp (DOCTOR/OWNER) |
| Authorized Official Contact | 6364870122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ted Beauchamp, Dds Llc 853 Medical Dr Ste 112 Wentzville MO 63385-3825 Ph: (636) 487-0122 | Ted Beauchamp, Dds Llc 853 Medical Dr Ste 112 Wentzville MO 63385-3825 Ph: (636) 487-0122 |
| NPI Number | 1124896220 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124896220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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