Individual provider · Type 1 NPI

Cody Michael Dazen, DMD

Oral and Maxillofacial Surgery (Dentist) · Gainesville, FL

NPI number 1922739291 Active

Practice location

1600 SW Archer Rd # D7-6
Gainesville, FL 32610-3003

Call (352) 273-6750 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDRPM2459 (FL)

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 1922739291

Cody Michael Dazen, DMD's National Provider Identifier is 1922739291, issued on Jun 18, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gainesville, FL. The record was last updated on Jun 18, 2022.