THERON WAISATH, DMD
Oral and Maxillofacial Surgery (Dentist) · CHAMPAIGN, IL
Individual Active NPI 1144423963
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | 019.027879 | IL |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 2422 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Oral and Maxillofacial Surgery (Dentist) providers in Illinois
- NPI 1215196290
- NPI 1669540399
- NPI 1518025394
- NPI 1255652665
- NPI 1164886362
- NPI 1265946081
- NPI 1750397501
- NPI 1508124785
See all Oral and Maxillofacial Surgery (Dentist) providers in Illinois →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.