Individual provider · Type 1 NPI

Odin Waite, DDS

Oral and Maxillofacial Surgery (Dentist) · Elgin, IL

NPI number 1477834240 Active

Practice location

1425 N Mclean Blvd Ste 200
Elgin, IL 60123

Fax (847) 697-8355

Mailing address

1425 N Mclean Blvd, Ste 200
Elgin, IL 60123-5702

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X021002844 (IL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1477834240

Odin Waite, DDS's National Provider Identifier is 1477834240, issued on Sep 7, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Elgin, IL. The record was last updated on Apr 16, 2019.