DR. LATONYA WALLER DDS
NPI 1265841977
Dentist - General Practice in Detroit, MI
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
Specialties & Licenses
Accepted Insurance
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Latonya Waller's NPI number?
The NPI number for Latonya Waller is 1265841977. It was assigned to this individual provider in the NPPES registry on August 6, 2014.
Where is Latonya Waller located?
Latonya Waller practices at 4727 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 833-7309.
What is Latonya Waller's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
What insurance does Latonya Waller accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 14 other insurers list Latonya Waller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Latonya Waller was last updated on August 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Latonya Waller, DDS · NPI 1265841977
General Practice provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since August 6, 2014.
## Identity
- **NPI:** 1265841977 (Entity type: Individual)
- **Enumerated:** August 6, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2901021345 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4727 SAINT ANTOINE ST, Detroit, MI 48201-1461
- **Phone:** (313) 833-7309
## Record status
- **NPPES last updated:** August 6, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1265841977) · Data from the CMS NPPES public registry.