IndividualActive
Cody Waid, L.D.
NPI 1093165524 · Denturist · Meridian, ID
Provider details
- NPI number
- 1093165524
- Entity type
- Individual
- Primary specialty
- DenturistDental Providers
- Credential
- L.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LD-111 (ID)
Specialties & taxonomies
Dental Providers
Practice location
1833 N Lakes Pl
Meridian, ID 83646-1921
Phone: (208) 346-1887
Approximate (ZIP-level) locationGet directions
Mailing address
505 1st St Ste a
Idaho Falls, ID 83401-3929
Registry dates
- Enumerated
- 2016-06-15
- Last updated
- 2016-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.