Individual
DAVID N. BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
709 E SHOTWELL ST, BAINBRIDGE, GA 39819-4063
(229) 246-3686
(229) 246-5011
Mailing address
709 E SHOTWELL ST, BAINBRIDGE, GA 39819-4063
(229) 246-3686
(229) 246-5011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9222
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00205928A
—
GA
Enumeration date
10/24/2006
Last updated
09/25/2012
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