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DR. DOUGLAS L. BEAUDRY D.D.S., P.S.
NPI 1922166578
Dentist - General Practice in Ephrata, WA

Active since December 05, 2006
204 12TH AVE SW, EPHRATA, WA 98823(509) 754-3262(509) 754-3262 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas L. Beaudry D.d.s., P.s. NPPES

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

DR. DOUGLAS L. BEAUDRY D.D.S., P.S. (NPI 1922166578) is an individual general practice provider in Ephrata, Washington, licensed in Washington (DE00004598) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1922166578
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DOUGLAS L. BEAUDRYCredential: D.D.S., P.S.
Location Address204 12TH AVE SWEphrata, WA 98823-2197
Mailing Address204 12th Ave SwEphrata, WA 98823-2197 · (509) 754-3262 · Fax (509) 754-3262
Phone(509) 754-3262
Fax(509) 754-3262
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1922166578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00004598
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
204 12TH AVE SW, Ephrata, WA 98823
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Other Identifiers 4

Medicare ID-Type Unspecified5543103WA · Dshs Licence #
Other05431WA · Wds License #
Medicaid5543103WA
Other4598WA · State Dental License #

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 Douglas Beaudry's NPI number?

The NPI number for Douglas Beaudry is 1922166578. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Douglas Beaudry located?

Douglas Beaudry practices at 204 12th Ave SW, Ephrata, WA 98823. The listed phone number is (509) 754-3262.

What is Douglas Beaudry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Douglas Beaudry was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.