Search › Colorado › 1223P0700X

Justin Liddle, DMD, CDT

NPI 1154634707 · on the registry since 2010

Practice

Address
2001 S Shields St Ste B1
Fort Collins, CO 80526
Phone
(970) 224-4358
Fax
(970) 224-4388
Organisation at this address
Lori Lund, Llc
Holistic Smiles
Edie Bowman Od Llc
Jennifer Havrilla Llc
Daniel B Jinich Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
1223P0700X
1223P0700X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado