Provider Demographics
NPI:1730379421
Name:MONROY, JULIE NICOLE (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:NICOLE
Last Name:MONROY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6732 W RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-8858
Mailing Address - Country:US
Mailing Address - Phone:810-225-0215
Mailing Address - Fax:
Practice Address - Street 1:6732 W RIDGE DR
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-8858
Practice Address - Country:US
Practice Address - Phone:810-225-0215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-28
Last Update Date:2007-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010196911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice