Provider Profile
Theron Waisath, DMD is a healthcare provider in Champaign, IL specializing in maxillofacial surgery. Theron trained at Southern Illinois Univ School of Dental Medicine, graduating in 2004. Theron is also listed as specializing in oral & maxillofacial surgery (dental) and oral & maxillofacial surgery. This provider record is associated with NPI 1144423963.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
3112 VILLAGE OFFICE PL
Champaign, IL 61822
Dr. Waisath is a maxillofacial surgeon in Champaign, IL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Maxillofacial Surgery”.
NPI registry
Dr. Waisath is listed at 3112 Village Office Pl, Champaign, IL 61822. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (217) 351-7111. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Waisath's National Provider Identifier is 1144423963. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Waisath attended Southern Illinois Univ School of Dental Medicine, graduating in 2004. This comes from the CMS National Downloadable File.
CMS public data
Dr. Waisath has 22 years experience. Calculated from a graduation year of 2004, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Waisath. If this is you, claiming it is free.
Guide.md
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