TREY MATTHEW LATIOLAIS (NPI# 1912156100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912156100 |
| Entity Type | Individual |
| Full Name | TREY MATTHEW LATIOLAIS |
| Credential | D.D.S. |
| Practice Address |
1106 Broadnax Street Daingerfield TX 75638 |
| Practice Telephone | 9036457335 |
| Practice Fax Number | 9036457336 |
| Mailing Telephone | 9036457335 |
| Mailing Fax Number | 9036457336 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2017-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24031 | TX | Dental Providers |
| Street Address |
1106 BROADNAX STREET |
| City | DAINGERFIELD |
| State | TX |
| Zip Code | 75638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255278 | Ronald Dickinson | Physician Assistant | 213 A Scurry Ave, Daingerfield, TX 75638 | 2005-06-17 |
| 1245771245 | Morgan Frost | Speech-Language Pathologist | 507 E W M Watson Blvd, Daingerfield, TX 75638 | 2017-03-10 |
| 1194813576 | Danny Lilley | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2006-10-10 |
| 1639607328 | Michelle Phillips | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2017-05-25 |
| 1013454404 | Trey Latiolais Dds Pllc | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2017-01-24 |
| 1376548180 | Lynn Bourdon | Family Medicine | 200 W Scurry St Ste A, Daingerfield, TX 75638-1634 | 2005-06-17 |
| 1548277809 | Roderick Lee Mitchell | Legal Medicine | 303 Webb St, Daingerfield, TX 75638-1651 | 2006-08-01 |
| 1699762443 | Med-care Pharmacy, Inc | Pharmacy | 213 W Scurry St, Daingerfield, TX 75638-1657 | 2005-10-05 |
| 1710176805 | Dickinson & Wells Pllc | Physician Assistant | 213 Scurry Street, A, Daingerfield, TX 75638-1658 | 2007-10-15 |
| 1982778452 | Med Care Pharmacy Inc | Pharmacy | 213 W Scurry St Ste C, Daingerfield, TX 75638-1661 | 2006-11-17 |
| Find all providers in zip 75638 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194813576 | Danny Lilley | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2006-10-10 |
| 1639607328 | Michelle Phillips | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2017-05-25 |
| 1013454404 | Trey Latiolais Dds Pllc | Dentist | 1106 Broadnax St, Daingerfield, TX 75638-1030 | 2017-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
| City | DAINGERFIELD |
| Zip Code | 75638 |
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| 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.