# JOHN T. WAITE, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841454030
- **Authorized official:** DR. JOHN T. WAITE D.D.S. (OWNER)
- **Authorized official phone:** (610) 394-3363

## Contact information

- **Practice address:** 282 N LANSDOWNE AVE, LANSDOWNE, PA 19050-1101
- **Practice address phone:** (610) 394-3363
- **Practice address fax:** (610) 259-7785
- **Mailing address:** 282 N LANSDOWNE AVE, LANSDOWNE, PA 19050-1101
- **Mailing address phone:** (610) 394-3363
- **Mailing address fax:** (610) 259-7785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS026358L | PA | Yes |

## Other

- **Enumeration date:** 07/16/2008
- **Last updated:** 07/16/2008