Provider Type Icon

DR. FRANK DE LATOUR DDS NPI 1497164081


NPI Information

NPI: 1497164081
Provider Name: DR. FRANK DE LATOUR, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
300 EAST HOSPTIAL DRIVE
FORT GORDON, GA
ZIP 30905
Phone: (706) 787-5322
Get Directions

DR. Frank De Latour, DDS is an oral and maxillofacial surgery dentist in Fort Gordon, GA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Frank De Latour, DDS NPI is 1497164081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 EAST HOSPTIAL DRIVE
FORT GORDON, GA
ZIP 30905
Phone: (706) 787-5322

The NPI 1497164081 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/7/2014 and was last updated on 1/11/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist0401414463VIRGINIANo
21223S0112XDentistOral and Maxillofacial SurgeryDNF000451GEORGIANo
3204E00000XOral & Maxillofacial SurgeryDNF000451GEORGIANo
41223S0112XDentistOral and Maxillofacial Surgery10106SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.