Waite, Gregory

Waite, Gregory is an individual health care provider with primary practice located at 865 N Arizola Rd , Casa Grande AZ 85122-6011. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Waite, Gregory can be contacted via phone (520) 836-3446.

Contact Information

Primary practice address
865 N Arizola Rd Casa Grande AZ 85122-6011
Phone: (520) 836-3446
Fax: (520) 836-8807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3725 Arizona

Profile Details

NPI number 1437157153
LBN Legal business name Waite, Gregory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 22nd, 2016 - about 10 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 1437157153 NPPES
Arizona Other 93170 AHCCCS
Arizona Other 3725 AHCCCS

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