Individual provider · Type 1 NPI
Justin Kimball Liddle, DMD, CDT
Prosthodontics · Fort Collins, CO
NPI number
1154634707
Active
Practice location
2001 S Shields St Ste B1
Fort Collins, CO 80526-1829
Fax (970) 224-4388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 10142 (CO) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
About NPI 1154634707
Justin Kimball Liddle, DMD, CDT's National Provider Identifier is 1154634707, issued on Jul 23, 2010. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Fort Collins, CO. The record was last updated on Jul 23, 2010.