Individual provider · Type 1 NPI

Bradley Thomas Beauchene, DDS

Dentist · White Bear Lake, MN

NPI number 1679139737 Active

Practice location

4754 Washington Sq
White Bear Lake, MN 55110-3257

Fax (651) 429-6255

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD14189 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1679139737

Bradley Thomas Beauchene, DDS's National Provider Identifier is 1679139737, issued on May 14, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in White Bear Lake, MN. The record was last updated on Jun 11, 2025.