WALTON FAMILY DENTISTRY LLC (NPI# 1851934160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851934160 |
| Entity Type | Organization |
| Organization Name | WALTON FAMILY DENTISTRY LLC |
| Practice Address |
862 Michael Etchison Rd Monroe GA 30655-8204 |
| Practice Telephone | 7702672301 |
| Practice Fax Number | 7702678981 |
| Mailing Telephone | 7702672301 |
| Mailing Fax Number | 7702678981 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | KEVIN M LACOUR (OWNER) |
| Authorized Official Telephone | 7703675191 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Walton Dental Care | Doing Business As Name - Organization |
| Street Address |
862 MICHAEL ETCHISON RD |
| City | MONROE |
| State | GA |
| Zip Code | 30655-8204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306404363 | Laten Edwards Barham | Dentist | 4351 Pecanland Mall Dr, Monroe, LA 71203-7014 | 2019-06-04 |
| 1932622701 | Rory J Perimenis | Dentist | 324 Elm St Ste 201a, Monroe, CT 06468-2282 | 2017-07-24 |
| 1598295354 | Kelly Rae Irwin | Dentist | 14650 N Kelsey St Ste 104-105, Monroe, WA 98272-1456 | 2017-06-14 |
| 1356879118 | Patricia Pass-dudley Dds PC | Dentist | 516 Great Oaks Dr, Monroe, GA 30655-8211 | 2017-05-24 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1881148195 | Khalid I Ragab | Dentist | 2165 N Telegraph Rd, Monroe, MI 48162-8947 | 2016-08-04 |
| 1457703696 | Monique Hudson,dds, Pa | Dentist | 2200 Walters Division Rd, Monroe, NC 28110-8562 | 2016-07-12 |
| 1114302395 | Patrick Burkardt | Dentist | 2015 Heiss Rd, Monroe, MI 48162-9406 | 2015-07-29 |
| 1417335142 | Michael Doo Hyun Kang | Dentist | 324 Elm St Ste 103a, Monroe, CT 06468-2281 | 2015-05-14 |
| 1588054779 | Lane Eddleman, Dds, LLC | Dentist | 2511 Broadmoor Blvd, Monroe, LA 71201-2987 | 2015-01-27 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on WALTON FAMILY DENTISTRY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.