JAN T BAGWELL DDS
NPI 1669945861
Clinic/Center - Dental in Monroe, LA

Active since January 10, 2019
189 KEYSTONE RD, MONROE, LA 71203(318) 665-4423 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jan T Bagwell Dds NPPES

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

JAN T BAGWELL DDS (NPI 1669945861) is a healthcare organization registered as a dental in Monroe, Louisiana and active in the NPI registry since January 2019. The organization lists Jan T Bagwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1669945861
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJAN T BAGWELL DDS
Location Address189 KEYSTONE RDMonroe, LA 71203-8936
Mailing Address189 Keystone RdMonroe, LA 71203-8936
Organization SubpartNo
Authorized OfficialJan T BagwellOwner · (318) 665-4423
Enumeration DateJanuary 10, 2019
NPI 1669945861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
189 KEYSTONE RD, Monroe, LA 71203

Other Identifiers 1

Other1760917561LA · National Provider Number/ Npi

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.

Dentist
189 KEYSTONE RD
MONROE, LA 71203
Dentist (General Practice)
189 KEYSTONE RD
MONROE, LA 71203
Dentist (General Practice)
189 KEYSTONE RD
MONROE, LA 71203

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 Jan T Bagwell Dds's NPI number?

The NPI number for Jan T Bagwell Dds is 1669945861. It was assigned to this organization in the NPPES registry on January 10, 2019.

Where is Jan T Bagwell Dds located?

Jan T Bagwell Dds is located at 189 Keystone Rd, Monroe, LA 71203. The listed phone number is (318) 665-4423.

What is Jan T Bagwell Dds'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 Jan T Bagwell Dds was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.