LANE EDDLEMAN, DDS, LLC (NPI# 1588054779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588054779 |
| Entity Type | Organization |
| Organization Name | LANE EDDLEMAN, DDS, LLC |
| Practice Address |
2511 Broadmoor Blvd Monroe LA 71201-2987 |
| Practice Telephone | 3183222013 |
| Practice Fax Number | 3183222048 |
| Mailing Telephone | 3183222013 |
| Mailing Fax Number | 3183222048 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Authorized Official Name | MRS. WENDI GARNETT (OFFICE MANAGER) |
| Authorized Official Telephone | 3183222013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5562 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1855626 | 05 | |
| LA | 1860590 | 05 |
| Street Address |
2511 BROADMOOR BLVD |
| City | MONROE |
| State | LA |
| Zip Code | 71201-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689143083 | Eddleman Crigler Dental Pllc | Dentist | 2511 Broadmoor Blvd, Monroe, LA 71201-2987 | 2018-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | 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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934160 | Walton Family Dentistry LLC | Dentist | 862 Michael Etchison Rd, Monroe, GA 30655-8204 | 2019-10-21 |
| 1306404363 | Laten Edwards Barham | Dentist | 4351 Pecanland Mall Dr, Monroe, LA 71203-7014 | 2019-06-04 |
| 1932622701 | Rory J Perimenis | Dentist | 324 Elm St Ste 201a, Monroe, CT 06468-2282 | 2017-07-24 |
| 1598295354 | Kelly Rae Irwin | Dentist | 14650 N Kelsey St Ste 104-105, Monroe, WA 98272-1456 | 2017-06-14 |
| 1356879118 | Patricia Pass-dudley Dds PC | Dentist | 516 Great Oaks Dr, Monroe, GA 30655-8211 | 2017-05-24 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1881148195 | Khalid I Ragab | Dentist | 2165 N Telegraph Rd, Monroe, MI 48162-8947 | 2016-08-04 |
| 1457703696 | Monique Hudson,dds, Pa | Dentist | 2200 Walters Division Rd, Monroe, NC 28110-8562 | 2016-07-12 |
| 1114302395 | Patrick Burkardt | Dentist | 2015 Heiss Rd, Monroe, MI 48162-9406 | 2015-07-29 |
| 1417335142 | Michael Doo Hyun Kang | Dentist | 324 Elm St Ste 103a, Monroe, CT 06468-2281 | 2015-05-14 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.