MR. CODY MERRIL BYWATERS LICENSED DENTURIST
NPI 1407100233
Denturist in Lake Oswego, OR

Active since October 31, 2012
3900 DOUGLAS WAY, LAKE OSWEGO, OR 97035(503) 635-8060(503) 305-8679 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Cody Merril Bywaters Licensed Denturist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CODY MERRIL BYWATERS LICENSED DENTURIST (NPI 1407100233) is an individual denturist in Lake Oswego, Oregon, licensed in Oregon (DTDO10126042) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1407100233
Entity TypeIndividualMale
Primary Taxonomy122400000X
Provider Legal NameMR. CODY MERRIL BYWATERSCredential: LICENSED DENTURIST
Location Address3900 DOUGLAS WAYLake Oswego, OR 97035-3446
Mailing Address3900 Douglas WayLake Oswego, OR 97035-3446 · (503) 635-8060 · Fax (503) 305-8679
Fax(503) 305-8679
Sole ProprietorYes
Enumeration DateOctober 31, 2012
NPI 1407100233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License Licensed in OR · DTDO10126042
Definition
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.
3900 DOUGLAS WAY, Lake Oswego, OR 97035

Other Identifiers 1

OtherDTDO 10126042OR · Denturist Health License State Of Oregon

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Dentist (General Practice)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Clinic/Center (Dental)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Massage Therapist
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035
Dentist (General Practice)
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Bywaters's NPI number?

The NPI number for Cody Bywaters is 1407100233. It was assigned to this individual provider in the NPPES registry on October 31, 2012.

Where is Cody Bywaters located?

Cody Bywaters practices at 3900 Douglas Way, Lake Oswego, OR 97035. The listed phone number is (503) 635-8060.

What is Cody Bywaters's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Cody Bywaters was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.