DR. ODIN WAITE P.C. NPI 1952803504

NPI Information

  • NPI: 1952803504
  • Provider Name: DR. ODIN WAITE, P.C.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: ELGIN ORAL AND MAXILLOFACIAL SURGERY
  • Address: 1425 N MCLEAN BLVD STE 200
    ELGIN, IL
    ZIP 60123
  • Phone: (847) 697-6868

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NPI Details

DR. ODIN WAITE, P.C. is an oral and maxillofacial surgery dentist in Elgin, IL. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. ODIN WAITE, P.C. NPI is 1952803504. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elgin Oral And Maxillofacial Surgery.

The provider's business location address is:

1425 N MCLEAN BLVD STE 200
ELGIN, IL
ZIP 60123
Phone: (847) 697-6868

The provider's authorized official is Jamie Waite .
The authorized official title is Office Manager and has the following contact phone number (847) 697-6868.

The enumeration date for this NPI number is 2/28/2018 and was last updated on 4/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery021.002844ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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