P Praxis·MD
● Active Type 1 · Individual

DR. Elise Marie De Latour, DDS

Dentist·Augusta, GA· NPI 1235511858 · Enumerated 2015 · 10 years on NPI
De Latour is 1 of 145 dentist providers in Augusta and 1 of 4309 in Georgia.
NPI age
10 years
Enumerated 2015-06-19
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-04-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
10 years
↓ 8 yr below median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-06Enumerated in NPPES
2015 2026

Where they practice

Practice location
1430 John Wesley Gilbert Drive
Augusta, GA 309120001
📞 7067212371fax 7067216778
Mailing address
1430 John Wesley Gilbert Drive
Augusta, GA 309120001
📞 7067212371fax 7067216778

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DNF000450FL license #DN24440 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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