Monroe Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONROE DENTAL GROUP LLC

Practice address

1401 N 18TH St Ste E
Monroe, LA 71201-4972

Phone

(318) 605-2015

Fax

(318) 737-1239

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Julie Lebell Simpson, DDS

Title

Owner Dentist

Phone

(318) 605-2015

Specialties & licenses 1

Addresses

Other names 1

• Southern Roots Dental of Louisiana Doing business as

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1942715917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 SPENCER AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014149",
            "telephone_number": "318-557-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 18TH ST STE E",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014972",
            "telephone_number": "318-605-2015",
            "fax_number": "318-737-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LEBELL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "318-605-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Roots Dental of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Monroe, LA
• Providers in Monroe, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.