Individual provider · Type 1 NPI

Cody Merril Bywaters, LICENSED DENTURIST

Denturist · Lake Oswego, OR

NPI number 1407100233 Active

Practice location

3900 Douglas Way
Lake Oswego, OR 97035-3446

Fax (503) 305-8679

Specialties and licenses

TaxonomyCodeLicense
Denturist Primary 122400000XDTDO10126042 (OR)

Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

5 other providers at this address

About NPI 1407100233

Cody Merril Bywaters, LICENSED DENTURIST's National Provider Identifier is 1407100233, issued on Oct 31, 2012. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Lake Oswego, OR. The record was last updated on Oct 31, 2012.