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W . JARROD GREGG, DDS, LLC
NPI 1407479819
Clinic/Center - Dental in Vidalia, LA

Active since May 20, 2020
1148 LOGAN SEWELL DR, VIDALIA, LA 71373(318) 336-5711 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About W . Jarrod Gregg, Dds, Llc NPPES

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

W . JARROD GREGG, DDS, LLC (NPI 1407479819) is a healthcare organization registered as a dental in Vidalia, Louisiana and active in the NPI registry since May 2020. The organization lists Melissa W Gregg, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407479819
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameW . JARROD GREGG, DDS, LLC
Location Address1148 LOGAN SEWELL DRVidalia, LA 71373-3342
Mailing Address1148 Logan Sewell DrVidalia, LA 71373-3342
Phone(318) 336-5711
Organization SubpartNo
Authorized OfficialMelissa W GreggOffice Manager · (318) 336-5711
Enumeration DateMay 20, 2020
NPPES CertifiedMay 20, 2020
✔ NPI 1407479819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1148 LOGAN SEWELL DR, Vidalia, LA 71373
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Other Identifiers 1

Medicaid29821LA

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.

ANNA R WOMACK DDS
Dentist
1148 LOGAN SEWELL DR
VIDALIA, LA 71373
Concordia Parish (318) 336-5711
SWEET DREAMS I LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1148 LOGAN SEWELL DR
VIDALIA, LA 71373
Concordia Parish (318) 336-5711
DR. WILLIAM JARROD GREGG DDS
Dentist
1148 LOGAN SEWELL DR
VIDALIA, LA 71373
Concordia Parish (318) 336-5711

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 W . Jarrod Gregg, Dds, LLC's NPI number?

The NPI number for W . Jarrod Gregg, Dds, LLC is 1407479819. It was assigned to this organization in the NPPES registry on May 20, 2020.

Where is W . Jarrod Gregg, Dds, LLC located?

W . Jarrod Gregg, Dds, LLC is located at 1148 Logan Sewell Dr, Vidalia, LA 71373. The listed phone number is (318) 336-5711.

What is W . Jarrod Gregg, Dds, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for W . Jarrod Gregg, Dds, LLC was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.