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Dr. Justin Kimball Liddle, DMD,CDT
Prosthodontist in Fort Collins, Colorado
NPI 1154634707

Justin Kimball Liddle is a Prosthodontist based in Fort Collins, CO and is specialized in Prosthodontics. Justin Kimball Liddle practices in Fort Collins, CO and has the professional credentials of DMD,CDT. The NPI Number for Justin Kimball Liddle is 1154634707 and holds a License No. 10142 (Colorado).

The current practice location address for Justin Kimball Liddle is 2001 S Shields St Ste B1, Fort Collins, CO and can be reached out via phone at 970-224-4358 and via fax at 970-224-4388.

Location: 2001 S Shields St Ste B1, Fort Collins, CO, 80526-1829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154634707
Provider Name
Justin Kimball Liddle
Credential
DMD,CDT
Provider Entity Type
Individual
Gender
Male
Address
2001 S Shields St Ste B1, Fort Collins, CO, 80526-1829
Phone Number
970-224-4358
Fax Number
970-224-4388
Provider Enumeration Date
07/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 S Shields St Ste B1
City
Fort Collins
State
Colorado
Zip
80526-1829
Phone Number
970-224-4358
Fax Number
970-224-4388
person
Provider Business Mailing Address Details
Address
2001 S Shields St Ste B1
City
Fort Collins
State
Colorado
Zip
80526-1829
Phone Number
970-224-4358
Fax Number
970-224-4388
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
10142 (Colorado)
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.
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