MONROE DENTAL GROUP LLC (NPI# 1942715917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942715917 |
| Entity Type | Organization |
| Organization Name | MONROE DENTAL GROUP LLC |
| Other Organization Name | SOUTHERN ROOTS DENTAL OF LOUISIANA |
| Practice Address |
1401 N 18th St Ste E Monroe LA 71201-4972 |
| Mailing Address |
1503 Spencer Ave Monroe LA 71201-4149 |
| Practice Telephone | 3186052015 |
| Practice Fax Number | 3187371239 |
| Mailing Telephone | 3185576338 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Authorized Official Name | DR. JULIE LEBELL SIMPSON (OWNER DENTIST) |
| Authorized Official Telephone | 3186052015 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
LA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Southern Roots Dental of Louisiana | Doing Business As Name - Organization |
| Street Address |
1401 N 18TH ST STE E |
| City | MONROE |
| State | LA |
| Zip Code | 71201-4972 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1487143616 | S. Gibree, D.m.d., P.C. | Dentist | 5120 Old Charlotte Hwy, Monroe, NC 28110-7342 | 2018-05-03 |
| 1689162372 | Amara Dental of Monroe, P.a. | Dentist | 211 Applegarth Road, Suite 109, Monroe, NJ 08831 | 2018-04-27 |
| 1659884104 | Orange County Dental, P.C. | Dentist | 1 Prag Blvd Unit 111, Monroe, NY 10950-8448 | 2017-11-07 |
| 1487184677 | Daniel Conrid Sharbono | Dentist | 2406 Duval Dr, Monroe, LA 71201 | 2017-06-19 |
| 1730619917 | Leigh Ann Robinson | Dentist | 1507 Lamy Ln Ste A, Monroe, LA 71201-3778 | 2017-06-19 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1326300625 | Dung V Tran | Dentist | 1307 E Franklin St, Suite C, Monroe, NC 28112-5196 | 2012-06-12 |
| 1205118700 | Exceldent Dental of Monroe, LLP | Dentist | 3 Center Hill Rd, Monroe, NY 10950-4805 | 2011-09-12 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on MONROE DENTAL GROUP LLC.
| 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.