Michael Monroe, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

3640-12 Issued in MS

Practice address

401 S Gloster St
Ste. 101
Tupelo, MS 38801-5540

Phone

(662) 269-4034

NPI assigned

Jun 12, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael Monroe DMD

  • General Practice Dentistry
  • Tupelo, MS
  • NPI 1356138564
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1174885461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S GLOSTER ST",
            "address_2": "STE. 101",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GLOSTER ST",
            "address_2": "STE. 101",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015540",
            "telephone_number": "662-269-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "MICHAEL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3640-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pranav Modi, MBBS
• Hollie Dulaney Moffatt, PMHNP-BC
• Rayyan Mohammed, DO
• Molecular and Diagnostic Testing Labs of America
• David Monaghan, M.D.
• Brandon Montgomery, MD
• Erica Michele Montgomery, MED
• Janet Woods Montgomery, LMSW
• Kevin Montgomery
• Lacrista Montgomery, SPECIALUST

• Dentist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.