Dr. Odin Waite, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021.002844 Issued in IL

Legal business name

DR. ODIN WAITE, P.C.

Doing business as

Elgin Oral and Maxillofacial Surgery

Practice address

1425 N McLean Blvd Ste 200
Elgin, IL 60123

Phone

(847) 697-6868

NPI assigned

Feb 28, 2018

Last updated

Apr 16, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jamie Waite

Title

Office Manager

Phone

(847) 697-6868

Specialties & licenses 1

Addresses

Other names 1

• Elgin Oral and Maxillofacial Surgery Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony J Bennett, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Elgin, IL
  • NPI 1770575292
  NPD (past)
• Michael B. Finger, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Elgin, IL
  • NPI 1346232808
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1952803504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235702",
            "telephone_number": "847-697-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-697-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ODIN WAITE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-697-6868"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021.002844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elgin Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Elgin, IL
• Providers in Elgin, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.