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LANE EDDLEMAN, DDS, LLC
NPI 1588054779
Dentist - General Practice in Monroe, LA

Active since January 27, 2015
2511 BROADMOOR BLVD, MONROE, LA 71201(318) 322-2013(318) 322-2048 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lane Eddleman, Dds, Llc NPPES

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

LANE EDDLEMAN, DDS, LLC (NPI 1588054779), doing business as Eddleman Dental, is a healthcare organization registered as a general practice in Monroe, Louisiana and active in the NPI registry since January 2015. The organization lists Jenny Garcia-rocha, Payer Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1588054779
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLANE EDDLEMAN, DDS, LLC
Location Address2511 BROADMOOR BLVDMonroe, LA 71201
Mailing Address2511 Broadmoor BlvdMonroe, LA 71201 · (318) 322-2013 · Fax (318) 322-2048
Phone(318) 322-2013
Fax(318) 322-2048
Organization SubpartNo
Authorized OfficialJenny Garcia-rochaPayer Enrollment Manager · (972) 869-3789
Enumeration DateJanuary 27, 2015
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1588054779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2511 BROADMOOR BLVD, Monroe, LA 71201
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Other Names 1

Doing Business AsEddleman Dental

Other Identifiers 2

Medicaid1860590LA
Medicaid1855626LA

Other Providers at the Same Location NPPES 2

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

THOMAS LANE EDDLEMAN DDS
Dentist (General Practice)
2511 BROADMOOR BLVD
MONROE, LA 71201
Ouachita Parish (318) 322-2013
EDDLEMAN CRIGLER DENTAL PLLC
Dentist (General Practice)
2511 BROADMOOR BLVD
MONROE, LA 71201
Ouachita Parish (318) 322-2013

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 Lane Eddleman, Dds, LLC's NPI number?

The NPI number for Lane Eddleman, Dds, LLC is 1588054779. It was assigned to this organization in the NPPES registry on January 27, 2015. The provider is doing business as Eddleman Dental.

Where is Lane Eddleman, Dds, LLC located?

Lane Eddleman, Dds, LLC is located at 2511 Broadmoor Blvd, Monroe, LA 71201. The listed phone number is (318) 322-2013.

What is Lane Eddleman, Dds, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lane Eddleman, Dds, LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.