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MR. DAVID LESTER LATZ DDS
NPI 1679596472
Dentist in Jackson, MI

Active since July 25, 2006Opted out of Medicare · through Jan 19, 2028
2633 SHIRLEY DR, JACKSON, MI 49201(517) 787-2516(517) 787-7734 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Lester Latz Dds NPPES

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

MR. DAVID LESTER LATZ DDS (NPI 1679596472) is an individual dentist in Jackson, Michigan, licensed in Michigan (11083) and active in the NPI registry since July 2006. He has opted out of Medicare through January 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679596472
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. DAVID LESTER LATZCredential: DDS
Location Address2633 SHIRLEY DRJackson, MI 49201
Mailing Address2633 Shirley DrJackson, MI 49284 · (517) 787-2516 · Fax (517) 787-7734
Phone(517) 787-2516
Fax(517) 787-7734
Sole ProprietorYes
Enumeration DateJuly 25, 2006
Last NPPES UpdateApril 20, 2012
✔ NPI 1679596472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 11083
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 11083 (MI)
2633 SHIRLEY DR, Jackson, MI 49201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. David Lester Latz Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2016 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2016
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GREGORY M. MAXSON DDS
Dentist (General Practice)
2633 SHIRLEY DR
JACKSON, MI 49201
Jackson County (517) 787-2516
DR. SARA KELLOGG TROYER DDS
Dentist
2633 SHIRLEY DR
JACKSON, MI 49201
Jackson County (517) 787-2516
SARA KELLOGG DDS PC
Dentist
2633 SHIRLEY DR
JACKSON, MI 49201
Jackson County (517) 787-2516

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 David Latz's NPI number?

The NPI number for David Latz is 1679596472. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is David Latz located?

David Latz practices at 2633 Shirley Dr, Jackson, MI 49201. The listed phone number is (517) 787-2516.

What is David Latz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Latz enrolled in Medicare?

No. David Latz has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Latz was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.