IndividualActive
Bradley Beauchene, DDS
NPI 1679139737 · Dentist · White Bear Lake, MN
Provider details
- NPI number
- 1679139737
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D14189 (MN)
Specialties & taxonomies
Dental Providers
Practice location
4754 Washington Sq
White Bear Lake, MN 55110-3257
Phone: (651) 426-9499
Fax: (651) 429-6255
Approximate (ZIP-level) locationGet directions
Mailing address
4754 Washington Sq
White Bear Lake, MN 55110-3257
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.