Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Latonya Waller, DDS

Individual provider General Practice Dentistry · NPI 1265841977

Dr. Latonya Waller, DDS is a General Practice Dentistry in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4727 Saint Antoine St
Detroit, MI 48201-1461
Phone: (313) 833-7309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901021345 (MI)

Record details

NPI number1265841977
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 6, 2014
Last updated in NPPESAugust 6, 2014

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