TED BEAUCHAMP DDS LLC NPI 1124896220

NPI Information

  • NPI: 1124896220
  • Provider Name: TED BEAUCHAMP, DDS LLC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 853 MEDICAL DR STE 112
    WENTZVILLE, MO
    ZIP 63385
  • Phone: (636) 487-0122

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NPI Details

TED BEAUCHAMP, DDS LLC is an endodontics dentist in Wentzville, MO. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. TED BEAUCHAMP, DDS LLC NPI is 1124896220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

853 MEDICAL DR STE 112
WENTZVILLE, MO
ZIP 63385-825
Phone: (636) 487-0122

The provider's authorized official is Ted Michael Beauchamp .
The authorized official title is Doctor/owner and has the following contact phone number (636) 487-0122.

The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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