Provider Demographics
NPI:1689713497
Name:BYE, WALTER LANDON (DDS)
Entity Type:Individual
Prefix:MR
First Name:WALTER
Middle Name:LANDON
Last Name:BYE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 NORTH 1520 EAST
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043
Mailing Address - Country:US
Mailing Address - Phone:801-376-5682
Mailing Address - Fax:
Practice Address - Street 1:15 WEST SOUTH TEMPLE
Practice Address - Street 2:GATEWAY TOWER WEST SUITE 440
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101
Practice Address - Country:US
Practice Address - Phone:801-364-7943
Practice Address - Fax:801-364-3373
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice