DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. CODY MERRIL BYWATERS LICENSED DENTURIST

MEDICARE: MR. CODY MERRIL BYWATERS LICENSED DENTURIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122400000XDenturistDTDO10126042OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DTDO 10126042OTHERORDENTURIST HEALTH LICENSE STATE OF OREGON

General Provider Information

NPI Number : 1407100233
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CODY MERRIL BYWATERS LICENSED DENTURIST
Provider Business Mailing Address
First Line : 3900 DOUGLAS WAY
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3446
Country : US
Telephone Number : 503-635-8060
Fax Number : 503-305-8679
Provider Business Practice Location Address
First Line : 3900 DOUGLAS WAY
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3446
Country : US
Telephone Number : 503-635-8060
Fax Number : 503-305-8679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2012
Last Update Date : 10/31/2012

Similar Medicare Providers

1205821154 — DR. TIMOTHY JOHN EDVALSON D.M.D.
Practice Location Address:
3900 DOUGLAS WAY
LAKE OSWEGO, OR
97035-3446
Practice Phone: 503-636-8446
Practice Fax: 503-636-4446
1174997142 — WIKLE DENTISTRY LLC
Practice Location Address:
3900 DOUGLAS WAY
LAKE OSWEGO, OR
97035-3446
Practice Phone: 503-636-8446
Practice Fax: 503-636-4446
1770035669 — MS. ALINA CHOBU LMT
Practice Location Address:
3900 DOUGLAS WAY
LAKE OSWEGO, OR
97035-3446
Practice Phone: 503-935-0965
Practice Fax:
1841844354 — DR. CARLY CHRISTOFERSON PETERSEN DMD
Practice Location Address:
3900 DOUGLAS WAY
LAKE OSWEGO, OR
97035-3446
Practice Phone: 503-636-8446
Practice Fax: 503-636-4446
1548917321 — CARLY K CHRISTOFERSON DMD PC
Practice Location Address:
3900 DOUGLAS WAY
LAKE OSWEGO, OR
97035-3446
Practice Phone: 503-636-8446
Practice Fax: 503-636-4446
1538285549 — MRS. DORENDA MELLYN MIDDLETON CRT
Practice Location Address:
547 NE LAKE DR
LAKE CITY, FL
32055-3446
Practice Phone: 386-438-5493
Practice Fax: 386-438-5493

Directions to “ MR. CODY MERRIL BYWATERS LICENSED DENTURIST” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.