DR. LATONYA WALLER


Address: 4727 Saint Antoine St, Detroit, MI 48201-1461
Phone: 3138337309

DR. LATONYA WALLER (NPI# 1265841977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265841977
Entity Type Individual
Full Name DR. LATONYA WALLER
Credential DDS
Practice Address 4727 Saint Antoine St
Detroit
MI 48201-1461
Mailing Address 76 W Adams Ave Apt 1604
Detroit
MI 48226-1667
Practice Telephone 3138337309
Enumeration Date 2014-08-06
Last Update Date 2014-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice 		2901021345 MI Dental Providers

Office Location

Street Address 4727 SAINT ANTOINE ST
City DETROIT
State MI
Zip Code 48201-1461

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790773091 Jeffrey Gillum Obstetrics & Gynecology 4727 Saint Antoine St, Suite 210, Detroit, MI 48201-1461 2005-10-11
1083146906 S Madani Md PC Pediatrics 4727 Saint Antoine St, Suite 402, Detroit, MI 48201-1461 2017-03-30
1750737821 Selice Jenae Zooper Dental Hygienist 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 2016-05-09
1275989352 Mya Weeks Dental Hygienist 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 2016-05-09
1386098663 Lucas Perry Dental Group Clinic/Center 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 2016-04-22
1558769836 Global Health Ipa Family Medicine 4727 Saint Antoine St, Ste 202, Detroit, MI 48201-1461 2014-12-18
1902213689 Hutzel Womens Health Specialists Obstetrics & Gynecology 4727 Saint Antoine St, Suite 304, Detroit, MI 48201-1461 2014-07-15
1093134348 Jackson Health Services Family Medicine 4727 Saint Antoine St, Ste 202, Detroit, MI 48201-1461 2014-04-15
1093145377 Metro Womens Health Pllc Obstetrics & Gynecology 4727 Saint Antoine St, Suite 304, Detroit, MI 48201-1461 2013-11-22
1558794594 Bobbi Rae Emmons Dental Hygienist 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 2013-08-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528678687 Elmwood Park Dental Dentist 1547 E Lafayette St, Detroit, MI 48207-2958 2020-08-04
1205452786 Daniel Galvez Dentist 200 Riverfront Dr Apt 20f, Detroit, MI 48226-7598 2020-06-22
1669947107 Diamond Smiles Dentistry, PC Dentist 13334 E Jefferson Ave, Detroit, MI 48215-2719 2018-10-11
1053802629 Hussein Daher Dentist 6061 W Vernor Hwy Ste 1, Detroit, MI 48209-2085 2018-05-19
1497278287 Kamil Abraham Dentist 24366 Grand River Ave Ste 111, Detroit, MI 48219-3098 2017-07-24
1326561887 Nicholas Dipilla Dentist 1 Woodward Ave Ste 1625, Detroit, MI 48226-3422 2017-07-17
1164963401 Smile Fresh Detroit PC Dentist 7230 Gratiot Avenue, Detroit, MI 48213 2017-03-20
1164967469 Fady Sarkees Dentist 21427 Grand River Ave, Detroit, MI 48219-3896 2016-12-23
1538523477 Charnia Hall Dentist 4272 Saint Antoine St, Detroit, MI 48201-2108 2016-04-06
1093178378 Florence Koloko Dentist 250 E Harbortown Dr Apt 608, Detroit, MI 48207-5010 2016-04-03
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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