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DENTAL SPECIALTY
NPI 1144343906
Dentist - Periodontics in Monroe, LA

Active since April 09, 2007
2005 FORSYTHE AVE, MONROE, LA 71201(318) 388-2630(318) 322-4537 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental Specialty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL SPECIALTY (NPI 1144343906) is a healthcare organization registered as a periodontics in Monroe, Louisiana and active in the NPI registry since April 2007. The organization lists Lila C Walimaa, Bookkeeper Secretary, as its authorized official.

NPPES Registry Identity

NPI1144343906
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDAMON G BRADFORD DDS LTD
Location Address2005 FORSYTHE AVEMonroe, LA 71201
Mailing Address2005 Forsythe AveMonroe, LA 71201 · (318) 388-2630 · Fax (318) 322-4537
Phone(318) 388-2630
Fax(318) 322-4537
Organization SubpartNo
Authorized OfficialLila C WalimaaBookkeeper Secretary · (318) 388-2630
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1144343906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2005 FORSYTHE AVE, Monroe, LA 71201
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Other Names 1

Other NameDental Specialty

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALBERT F. MCMULLEN III DDS
Dentist (Endodontics)
2005 FORSYTHE AVE
MONROE, LA 71201
Ouachita Parish (318) 322-0432
J ERIC LAVESPERE DDS LLC
Dentist (Periodontics)
2005 FORSYTHE AVE
MONROE, LA 71201
Ouachita Parish (318) 388-2630
DR. DAMON G BRADFORD JR. DDS
Dentist (Periodontics)
2005 FORSYTHE AVE
MONROE, LA 71201
Ouachita Parish (318) 388-2630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Damon G Bradford Dds Ltd's NPI number?

The NPI number for Damon G Bradford Dds Ltd is 1144343906. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is also known as Dental Specialty.

Where is Damon G Bradford Dds Ltd located?

Damon G Bradford Dds Ltd is located at 2005 Forsythe Ave, Monroe, LA 71201. The listed phone number is (318) 388-2630.

What is Damon G Bradford Dds Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Damon G Bradford Dds Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.