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
| Taxonomy | Code | License |
|---|---|---|
| Denturist Primary | 122400000X | DTDO10126042 (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
- Carly K Christoferson DMD PCDental Clinic/Center Lake Oswego, OR NPI 1548917321
- Wikle Dentistry LLCGeneral Practice Dentistry Lake Oswego, OR NPI 1174997142
- Alina Chobu, LMTMassage Therapist Lake Oswego, OR NPI 1770035669
- Carly Christoferson Petersen, DMDGeneral Practice Dentistry Lake Oswego, OR NPI 1841844354
- Timothy John Edvalson, DMDGeneral Practice Dentistry Lake Oswego, OR NPI 1205821154
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.