Individual provider · Type 1 NPI

Kenneth John Liddiard, DMD

General Practice Dentistry · Pueblo, CO

NPI number 1295792307 Active

Practice location

2025 W US Highway 50 Ste A100
Pueblo, CO 81008-1571

Call (719) 542-2472 Map

Fax (719) 542-6435

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X00203000 (CO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1295792307

Kenneth John Liddiard, DMD's National Provider Identifier is 1295792307, issued on May 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pueblo, CO. The record was last updated on Oct 23, 2020.