Individual provider · NPI-1

Gerard Jean-Luc Beauchamp, DMD

Dentist · Doral, FL

NPI number1407556707
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1407556707
Entity type
Individual (NPI-1)
Name
Gerard Jean-Luc Beauchamp
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 6, 2023
Certification date
Feb 27, 2025
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN29137FLYes
390200000X Student in an Organized Health Care Education/Training Program–MA

Practice location

9593 Nw 41st St
Doral, FL 33178-2914

Phone 305-594-2022

Mailing address

9408 Nw 54th Doral Circle Ln
Doral, FL 33178-2048

Phone 305-562-0374

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