Individual provider · Type 1 NPI

Mitra Darice Waite, DMD, PhD

Dentist · Madison, AL

NPI number 1619497989 Active

Practice location

20 Hughes Rd, Suite 104
Madison, AL 35758

Fax (866) 803-4943

Mailing address

728 Flag Cir
Hoover, AL 35226-4917

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X6424 (AL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1619497989

Mitra Darice Waite, DMD, PhD's National Provider Identifier is 1619497989, issued on Jun 27, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Madison, AL. The record was last updated on Jan 23, 2026.