Philip Glenn Latham, DDS - Medicare Dentist in Roseville, CA

Philip Glenn Latham, DDS is a medicare enrolled "Dentist - General Practice" provider in Roseville, California. His current practice location is 5070 Foothills Blvd # 2, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 781-2611.

Philip Glenn Latham is licensed to practice in California (license number 35751) 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 1235359944.

Contact Information

Philip Glenn Latham, DDS
5070 Foothills Blvd # 2,
Roseville, CA 95747-6500
(916) 781-2611
(916) 781-2760



Healthcare Provider's Profile

Full NamePhilip Glenn Latham
GenderMale
SpecialityDentist - General Practice
Location5070 Foothills Blvd # 2, Roseville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235359944
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0547559056
  • Enrollment ID: I20160523000594

Medical Identifiers

Medical identifiers for Philip Glenn Latham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235359944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 35751 (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. Philip Glenn 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
Philip Glenn Latham, DDS
5070 Foothills Blvd # 2,
Roseville, CA 95747-6500

Ph: (916) 781-2611
Philip Glenn Latham, DDS
5070 Foothills Blvd # 2,
Roseville, CA 95747-6500

Ph: (916) 781-2611

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Dentist in Roseville, CA

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Medicare: Not Enrolled in Medicare
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Phone: 916-772-6248    Fax: 916-772-6235
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Medicare: Not Enrolled in Medicare
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Phone: 916-782-7783    Fax: 916-782-4699
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Medicare: Not Enrolled in Medicare
Practice Location: 3281 Rock Creek Way, Roseville, CA 95747
Phone: 916-271-4364    

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