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Dr. Justin Kimball Liddle

Prosthodontist

2001 S Shields St Ste B1
Fort Collins , Colorado 80526-1829

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Dr. Justin Kimball Liddle

Prosthodontist

2001 S Shields St Ste B1
Fort Collins , Colorado 80526-1829

(970) 224-4388

Write a Review Save Call

Dr. Justin Kimball Liddle

Prosthodontist

2001 S Shields St Ste B1
Fort Collins , Colorado 80526-1829

(970) 224-4388 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthodontist

Languages spoken

  • English

Location

2001 S Shields St Ste B1 Fort Collins , Colorado 80526-1829

First Address

  • Dr. Justin Kimball Liddle
  • 2001 S Shields St Ste B1
  • Fort Collins, CO
  • Zip : 80526-1829
  • Fax : (970) 224-4388
  • Phone : (970) 224-4358

Second Address

  • Dr. Justin Kimball Liddle
  • 2001 S Shields St Ste B1
  • Fort Collins, CO
  • Zip : 80526-1829
  • Fax : (970) 224-4388
  • Phone : (970) 224-4358

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FAQs


Where did Dr. Justin Kimball Liddle attend graduate school?

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Where did Dr. Justin Kimball Liddle do his residency?

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Where did Dr. Justin Kimball Liddle do his fellowship?

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Is Dr. Justin Kimball Liddle board certified?

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What type of doctor is Dr. Justin Kimball Liddle

Prosthodontist

In what state does Dr. Justin Kimball Liddle practice in?

Colorado

Where is Dr. Justin Kimball Liddle ’s practice located?

2001 S Shields St Ste B1 , Fort Collins, Colorado, 80526-1829

What is Dr. Justin Kimball Liddle ’s gender?

Male

Is Dr. Justin Kimball Liddle a sole practitioner?

No

Is Dr. Justin Kimball Liddle accepting new patients?

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What languages does Dr. Justin Kimball Liddle speak?

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Does Dr. Justin Kimball Liddle accept insurance?

Yes, Dr. Justin Kimball Liddle accepts insurance

Does Dr. Justin Kimball Liddle offers telemedicine?

Dr. Justin Kimball Liddle has not indicated if he offers telemedicine

What is Dr. Justin Kimball Liddle ’s professional license number?

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What is Dr. Justin Kimball Liddle ’s NPI number?

1154634707

Does Dr. Justin Kimball Liddle have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0700X Prosthodontist 10142 CO

National Provider Identifier

NPI 1154634707
Provider Name Dr. Justin Kimball Liddle
First Address Fort Collins, CO 80526-1829
Second Address Fort Collins, CO 80526-1829
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 23/07/2010
Last Update Date 23/07/2010

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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