OrganizationActive
Damon G Bradford DDS Ltd
NPI 1144343906 · Periodontics · Monroe, LA
Provider details
- NPI number
- 1144343906
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Lila Walimaa, Bookkeeper Secretary(318) 388-2630
Specialties & taxonomies
Dental Providers
Practice location
2005 Forsythe Ave
Monroe, LA 71201
Phone: (318) 388-2630
Fax: (318) 322-4537
Approximate (ZIP-level) locationGet directions
Mailing address
2005 Forsythe Ave
Monroe, LA 71201
Other names (DBA / former)
- Other name
- Dental Specialty
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.