Waite, Peter D

Waite, Peter D is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-1900. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Waite, Peter D can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249-1900
Fax: (205) 297-9411
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 03805 Alabama

Profile Details

NPI number 1871561688
LBN Legal business name Waite, Peter D
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871561688 NPPES
Alabama MEDICAID 009944575
Alabama Other 051519858

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