DR. LATONYA WALLER DDS
NPI 1265841977
Dentist - General Practice in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since August 06, 2014

4727 SAINT ANTOINE ST, DETROIT, MI 48201(313) 833-7309 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Latonya Waller Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LATONYA WALLER DDS (NPI 1265841977) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (2901021345) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1265841977

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LATONYA WALLERCredential: DDS

Location Address4727 SAINT ANTOINE STDetroit, MI 48201-1461

Mailing Address76 W Adams Ave Apt 1604Detroit, MI 48226-1667

Phone(313) 833-7309

Sole ProprietorYes

Enumeration DateAugust 6, 2014

✔ NPI 1265841977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901021345

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4727 SAINT ANTOINE ST, Detroit, MI 48201

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›