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TED BEAUCHAMP, DDS LLC
NPI 1124896220
Dentist - Endodontics in Wentzville, MO

Active since December 18, 2023
853 MEDICAL DR STE 112, WENTZVILLE, MO 63385(636) 487-0122 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ted Beauchamp, Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TED BEAUCHAMP, DDS LLC (NPI 1124896220), doing business as Beacon Endodontics, is a healthcare organization registered as an endodontics in Wentzville, Missouri and active in the NPI registry since December 2023. The organization lists Ted Michael Beauchamp, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1124896220
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameTED BEAUCHAMP, DDS LLC
Location Address853 MEDICAL DR STE 112Wentzville, MO 63385-3825
Mailing Address853 Medical Dr Ste 112Wentzville, MO 63385-3825 · (636) 487-0122
Phone(636) 487-0122
Organization SubpartNo
Authorized OfficialTed Michael BeauchampDoctor/owner · (636) 487-0122
Enumeration DateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1124896220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
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.
853 MEDICAL DR STE 112, Wentzville, MO 63385
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Other Names 1

Doing Business AsBeacon Endodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TED MICHAEL BEAUCHAMP DDS
Dentist (Endodontics)
853 MEDICAL DR STE 112
WENTZVILLE, MO 63385
St. Charles County (636) 487-0122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ted Beauchamp, Dds LLC's NPI number?

The NPI number for Ted Beauchamp, Dds LLC is 1124896220. It was assigned to this organization in the NPPES registry on December 18, 2023. The provider is doing business as Beacon Endodontics.

Where is Ted Beauchamp, Dds LLC located?

Ted Beauchamp, Dds LLC is located at 853 Medical Dr Ste 112, Wentzville, MO 63385. The listed phone number is (636) 487-0122.

What is Ted Beauchamp, Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Ted Beauchamp, Dds LLC was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.