DR. JUSTIN KIMBALL LIDDLE


Address: 2001 S Shields St Ste B1, Fort Collins, CO 80526-1829
Phone: 9702244358

DR. JUSTIN KIMBALL LIDDLE (NPI# 1154634707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154634707
Entity Type Individual
Full Name DR. JUSTIN KIMBALL LIDDLE
Credential DMD, CDT
Practice Address 2001 S Shields St Ste B1
Fort Collins
CO 80526-1829
Practice Telephone 9702244358
Practice Fax Number 9702244388
Mailing Telephone 9702244358
Mailing Fax Number 9702244388
Enumeration Date 2010-07-23
Last Update Date 2010-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
10142 CO Dental Providers

Office Location

Street Address 2001 S SHIELDS ST STE B1
City FORT COLLINS
State CO
Zip Code 80526-1829

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831736057 Jade Elaine Tilley Behavior Technician 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 2019-12-06
1073179131 Jana Marie Carson Marriage & Family Therapist 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 2019-05-14
1467922443 Marshall Hannum Occupational Therapist 2312 Limousin Ct., Fort Collins, CO 80526 2018-12-03
1205326634 Marlene A Baczek Acupuncturist 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 2018-05-10
1164922852 James Joseph Reid Social Worker 831 Benthaven St., Ft. Collins, CO 80526 2018-02-19
1982113718 Friends of L'arche Fort Collins Community/Behavioral Health 4500 Seneca St Unit 71, Fort Collins, CO 80526 2017-09-25
1578004313 Jenessa Dyke Chiropractor 2531 S Shields St # 2j-h, Fort Collins, CO 80526 2017-03-13
1588102388 Sarah Klein Counselor 1301 Glen Haven Dr, Fort Collins, CO 80526 2017-02-01
1972046530 Benu Amun-ra Non-emergency Medical Transport (VAN) 4779 Skyline Dr, Ft. Collins, CO 80526 2016-11-29
1205280328 Abigail Depperschmidt Physical Therapist 940 Worthington Circle, Fort Collins, CO 80526 2016-04-14
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568965812 Advanced Prosthodontics Dentist 1006 Robertson St Ste 210, Fort Collins, CO 80524-3920 2018-03-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134765431 Castle Rock Dental Prosthetics and Implants, P.C. Dentist 2356 Meadows Blvd Ste 170b, Castle Rock, CO 80109-8411 2019-11-21
1124531975 Ryan Lewis, Dmd, Pllc Dentist 1325 Hover St Ste 103, Longmont, CO 80501-3137 2017-11-14
1932567690 Aaron Bellis Dentist 8751 E Hampden Ave Ste C6, Denver, CO 80231-4930 2016-02-09
1942673397 Colorado Springs Dental Services, PC Dentist 251 E Fountain Blvd Unit 100, Colorado Springs, CO 80903-4160 2015-11-06
1831531748 Kaushal Kumar Dhawan Dentist 5161 E Arapahoe Rd Ste 255, Centennial, CO 80122-4810 2013-07-19
1912264318 Paul Conrad Doran Dentist 9881 Foxhill Cir, Highlands Ranch, CO 80129-4330 2012-04-23
1235410200 John Chun-fu Chen Dentist 6240 S Main St Ste 215, Aurora, CO 80016-5413 2011-09-06
1568694305 Gordon N Gates Dds, Msd, PC Dentist 350 Broadway St Ste 201, Boulder, CO 80305-3338 2009-08-12
1164697330 Neil Gary Dobro Dentist 3737 E 1st Ave, Suite A, Denver, CO 80206-7510 2008-04-28
1821268871 Darrel Elgin Kneupper Dentist 1106 W Cheyenne Rd, Colorado Springs, CO 80906-2460 2008-03-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City FORT COLLINS
Zip Code 80526

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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