Organization
TED BEAUCHAMP, DDS LLC
Active
Other names
Beacon Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TED MICHAEL BEAUCHAMP DDS (DOCTOR/OWNER)
(636) 487-0122
Entity
Organization
Contact information
Practice address
853 MEDICAL DR STE 112, WENTZVILLE, MO 63385-3825
(636) 487-0122
Mailing address
853 MEDICAL DR STE 112, WENTZVILLE, MO 63385-3825
(636) 487-0122
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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