Individual
DR. MATTHEW DANIEL WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH, MSD
Contact information
Practice address
3555 SUNSET OFFICE DR STE 210, SAINT LOUIS, MO 63127-1021
(314) 956-0528
Mailing address
3555 SUNSET OFFICE DR STE 210, SAINT LOUIS, MO 63127-1021
(314) 956-0528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018017591
MO
Other
Enumeration date
07/31/2018
Last updated
02/17/2025
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