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John Waite, DMD

Dentist in Salem, OR. Individual provider (NPI-1).

NPI number1750835682
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1750835682
Entity type
Individual (NPI-1)
Name
John Waite
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 9, 2016
Certification date
Dec 23, 2019
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD10531ORYes

Practice location

3490 Lancaster Dr Ne
Salem, OR 97305-1356

Phone 855-433-6825

Mailing address

6950 Ne Campus Way
Hillsboro, OR 97124-5611

Phone 855-433-6825

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