Dr Gary M Latham, DDS - Medicare Dentist in Santa Rosa, CA

Dr Gary M Latham, DDS is a medicare enrolled "Dentist" provider in Santa Rosa, California. His current practice location is 1260 N Dutton Ave, #290, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 527-7400.

Dr Gary M Latham is licensed to practice in California (license number 25570) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174610059.

Contact Information

Dr Gary M Latham, DDS
1260 N Dutton Ave, #290,
Santa Rosa, CA 95401-4659
(707) 527-7400
(707) 527-7427



Healthcare Provider's Profile

Full NameDr Gary M Latham
GenderMale
SpecialityDentist
Location1260 N Dutton Ave, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174610059
  • Provider Enumeration Date: 10/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2264734318
  • Enrollment ID: I20160106000452

Medical Identifiers

Medical identifiers for Dr Gary M Latham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174610059NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 25570 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary M Latham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gary M Latham, DDS
1260 N Dutton Ave, #290,
Santa Rosa, CA 95401-4659

Ph: (707) 527-7400
Dr Gary M Latham, DDS
1260 N Dutton Ave, #290,
Santa Rosa, CA 95401-4659

Ph: (707) 527-7400

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› Verified 1 days ago


Dentist in Santa Rosa, CA

Mrs. Edita Vasiliauskas, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2448 Guerneville Rd, Santa Rosa, CA 95403
Phone: 707-579-2808    
Dr. Simone Winkler Downs, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1206 Farmers Lane, Santa Rosa, CA 95405
Phone: 707-575-4450    Fax: 415-789-1252
Paul James Steigerwald, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 868 2nd St, Santa Rosa, CA 95404
Phone: 707-525-1228    Fax: 707-525-1137
Dr. Ranolph Duane Rush, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403
Phone: 707-545-4104    Fax: 707-545-9668
Dr. Christopher Chhoum Chow, DDS, MD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1460 Farmers Ln, Santa Rosa, CA 95405
Phone: 707-566-7300    Fax: 707-566-7400
Dr. Brian William Payne, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 36 Doctors Park Dr, Santa Rosa, CA 95405
Phone: 707-546-5234    Fax: 707-546-3928
Dr. Hiko Ruo, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 95 Montgomery Dr, Suite 212, Santa Rosa, CA 95404
Phone: 707-528-3412    Fax: 707-528-1058

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