Lane Eddleman, DDS, LLC

Lane Eddleman, DDS, LLC is a healthcare organization registered as General Practice Dentistry in Monroe, LA, holding Type 2 (organization) NPI 1588054779 since 2015. The authorized official on file is Jenny Garcia-Rocha, Payer Enrollment Manager.

✓ Active NPI ✓ Valid NPI checksum

NPI	1588054779
Entity type	Organization (Type 2)
Legal business name	Lane Eddleman, DDS, LLC
Practice address	2511 BROADMOOR BLVD, Monroe, LA, 71201
Phone	3183222013
Fax	3183222048
Enumeration date	2015-01-27
Last updated in NPPES	2025-10-07

Authorized official

Name	Jenny Garcia-Rocha
Title	Payer Enrollment Manager
Phone	9728693789

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
1860590	Medicaid	LA	—
1855626	Medicaid	LA	—

Copy-ready billing details

Provider: Lane Eddleman, DDS, LLC
NPI: 1588054779
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 2511 BROADMOOR BLVD, Monroe, LA, 71201

Providers at this address

NPI	Name	Type	Specialty	Location
1568537793	Thomas Eddleman	Individual	General Practice Dentistry	Monroe, LA
1689143083	Eddleman Crigler Dental Pllc	Organization	General Practice Dentistry	Monroe, LA

Verify this record

Cross-check NPI 1588054779 against the authoritative CMS record: view Lane Eddleman, DDS, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-07. Verify at npiregistry.cms.hhs.gov.

Where is Lane Eddleman, DDS, LLC located?

The practice location on file with NPPES is in Monroe, LA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-07.