Provider Profile

Theron Waisath, DMD

Unclaimed Profile

About Dr. Waisath

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.

Specialty

Credentials & Licensing

IL licenceAs reported to the NPI registry
No. 019.027879As reported
OH licenceAs reported to the NPI registry
No. 2422As reported
NPINational Provider Identifier
1144423963Issued 2007

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Waisath specialize in?

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

Where is Dr. Waisath located?

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

What is Dr. Waisath's phone number?

The number on file is (217) 351-7111. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dr. Waisath?

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

Where did Dr. Waisath go to medical school?

Dr. Waisath attended Southern Illinois Univ School of Dental Medicine, graduating in 2004. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Waisath have?

Dr. Waisath has 22 years experience. Calculated from a graduation year of 2004, reported in the CMS National Downloadable File.

CMS public data

Is Dr. Waisath's profile verified?

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

Guide.md listings do not constitute medical advice or an endorsement.