Dr Latoya Denise Colenberg Eakins, DMD is a
Dentist - General Practice based in Port Gibson, Mississippi. Dr Latoya Denise Colenberg Eakins is licensed to practice in Mississippi (license number 3615-11) and her current practice location is
2045 Highway 61 N, Port Gibson, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 437-3050.
NPI number for Dr Latoya Denise Colenberg Eakins is 1144500091 and her current mailing address is 2045 Highway 61 N, Port Gibson, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144500091.
Healthcare Provider's Profile
Full Name | Dr Latoya Denise Colenberg Eakins |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 2045 Highway 61 N, Port Gibson, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144500091
- Provider Enumeration Date: 08/24/2011
- Last Update Date: 02/12/2019
Medical Identifiers
Medical identifiers for Dr Latoya Denise Colenberg Eakins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144500091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 3615-11 (Mississippi) | Primary |
1223G0001X | Dentist - General Practice | PENDING (Mississippi) | Secondary |
1223G0001X | Dentist - General Practice | 361511 (Mississippi) | Secondary |
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 Latoya Denise Colenberg Eakins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Latoya Denise Colenberg Eakins, DMD 2045 Highway 61 N, Port Gibson, MS 39150-4262 Ph: (601) 437-3050 | Dr Latoya Denise Colenberg Eakins, DMD 2045 Highway 61 N, Port Gibson, MS 39150 Ph: (601) 437-3050 |
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