Individual provider · Type 1 NPI

Michael Edward Daetwyler, D.D.S

Oral and Maxillofacial Surgery (Dentist) · Fort Collins, CO

NPI number 1225484629 Active

Practice location

2014 Caribou Dr Ste 100
Fort Collins, CO 80525-4330

Fax (970) 223-2294

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDEN.00204321 (CO)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1225484629

Michael Edward Daetwyler, D.D.S's National Provider Identifier is 1225484629, issued on May 4, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Collins, CO. The record was last updated on Dec 21, 2022.