Individual
DR. JAYLON LEAVITT WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
UNITED STATES MILITARY ACADEMY, 646 SWIFT ROAD, BLDG 606, WEST POINT, NY 10996-1942
(845) 938-7759
(845) 938-4302
Mailing address
UNITED STATES MILITARY ACADEMY, 646 SWIFT ROAD, BLDG 606, WEST POINT, NY 10996-1942
(845) 938-7759
(845) 938-4302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4097
ID
Other
Enumeration date
08/29/2007
Last updated
03/08/2023
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