Provider Demographics
NPI:1780217612
Name:JULIE N MONROY DDS PC
Entity type:Organization
Organization Name:JULIE N MONROY DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MONROY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-923-5868
Mailing Address - Street 1:1801 E SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-2326
Mailing Address - Country:US
Mailing Address - Phone:517-487-1190
Mailing Address - Fax:517-487-9611
Practice Address - Street 1:1801 E SAGINAW ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-2326
Practice Address - Country:US
Practice Address - Phone:517-487-1190
Practice Address - Fax:517-487-9611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental