Search › Idaho › 1223G0001X
Benjamin Waites, DMD
NPI 1427619238 · on the registry since 2019
Practice
- Address
- 937 Bryden Ave
Lewiston, ID 83507 - Phone
- (208) 746-2668
- Fax
- (208) 746-7413
- Organisation at this address
- Two Rivers Family Dentistry
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho