npidexNPI registry + Medicare data

MICHAEL DAETWYLER, D.D.S

Oral and Maxillofacial Surgery (Dentist) · FORT COLLINS, CO

Individual Active Opted out of Medicare NPI 1225484629

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓DEN.00204321CO

Medicare eligibility

Opted out of Medicare (Oral Surgery), effective 2022-09-01 through 2026-09-01.

Other Oral and Maxillofacial Surgery (Dentist) providers in Colorado

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.