Beauchamp, Ted Michael

Beauchamp, Ted Michael is an individual health care provider with primary practice located at 853 Medical Dr Ste 112 , Wentzville MO 63385-3825. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Beauchamp, Ted Michael can be contacted via phone (636) 487-0122.

Contact Information

Primary practice address
853 Medical Dr Ste 112 Wentzville MO 63385-3825
Phone: (636) 487-0122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2009013186 Missouri
Dental Providers / Endodontics 1223E0200X 2009013186 Missouri

Profile Details

NPI number 1518198019
LBN Legal business name Beauchamp, Ted Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2009
Last updated Dec 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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