Theron Waisath DMD

  • NPI 1144423963
According to our database, the NPI number for Theron Waisath DMD is 1144423963 and activated since 16 years ago. Theron Waisath DMD is an individual provider who specializes in Oral and Maxillofacial Surgery, and the primary practice location is 3112 Village Office Pl, Champaign, IL 61822. You can also contact Theron Waisath DMD via telephone number is (217) 351-7111. Provider NPI information was last updated on 07/23/2009.

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Overview of Theron Waisath DMD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/08/2007
  • Last updated: 07/23/2009

Primary Scrop of Practice

  • Taxonomy Code: 1223S0112X
  • Specialty: Oral and Maxillofacial Surgery
  • License Number: 019.027879
  • License State: IL

Provider Mailing Address

  • Address: 3112 Village Office Pl
    Champaign, IL 61822
  • Phone: 217-351-7111
  • Fax: 217-351-7282

Provider Practice Location

  • Address: 3112 Village Office Pl
    Champaign, IL 61822
  • Phone: 217-351-7111
  • Fax: 217-351-7282

Scope of Practice

  • Taxonomy Code: 1223S0112X
  • Specialty: Oral and Maxillofacial Surgery
  • License Number: 019.027879
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Theron Waisath DMD?
  • A: The npi number for Theron Waisath DMD is 1144423963.
  • Q: What are Theron Waisath DMD's specialties?
  • A: Theron Waisath DMD's specialties are Oral and Maxillofacial Surgery and different specialities.
  • Q: What is the medical license for Theron Waisath DMD?
  • A: The medical license number for Theron Waisath DMD is 019.027879 and issued in IL in USA.
  • Q: Where is Theron Waisath DMD practice location?
  • A: Theron Waisath DMD is practicing at 3112 Village Office Pl, Champaign, IL 61822.
  • Q: How to contact Theron Waisath DMD?
  • A: You can contact Theron Waisath DMD via 217-351-7111.