Mario Monge DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARIO MONGE DMD PC

Practice address

2112 Danville Rd SW Ste a
Decatur, AL 35601-4673

Phone

(256) 353-8696

Fax

(256) 353-7388

NPI assigned

Apr 11, 2025

Last updated

Apr 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Mario Monge, DMDNPI 1992910467

Title

Ceo

Phone

(256) 353-8696

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Mario Monge, DMD

  • General Practice Dentistry
  • Decatur, AL
  • NPI 1992910467
  NPD Authorized official
• Brandon Chambless, D.M.D.

  • General Practice Dentistry
  • Decatur, AL
  • NPI 1780772939
  NPD (past)
• Jason W Selman, D.M.D.

  • General Practice Dentistry
  • Decatur, AL
  • NPI 1942393889
  NPD (past)

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1962297820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 DANVILLE RD SW STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014673",
            "telephone_number": "256-353-8696",
            "fax_number": "256-353-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 DANVILLE RD SW STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014673",
            "telephone_number": "256-353-8696",
            "fax_number": "256-353-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO MONGE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "MONGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-353-8696",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G William Manifold, MD
• Douglas L Mann III
• Douglas Lee Mann Jr., OD
• Megan Obert Mapes, PHARMD
• Marathon Health LLC
• Jeffrey M Markham, MD
• Joseph Marks, CRNP
• Kristi Deanna Marlin, CRNP
• Meridith Pringle Marlow, DO
• Paul August Marques, MD

• General Practice Dentistry in Decatur, AL
• Providers in Decatur, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.