IndividualActive
Damon Bradford, DDS
NPI 1972626737 · Periodontics · Monroe, LA
Provider details
- NPI number
- 1972626737
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2792 (LA)
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
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2016-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.