Liddle, Justin Kimball

Liddle, Justin Kimball is an individual health care provider with primary practice located at 2001 S Shields St Ste B1 , Fort Collins CO 80526-1829. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Liddle, Justin Kimball can be contacted via phone (970) 224-4358.

Contact Information

Primary practice address
2001 S Shields St Ste B1 Fort Collins CO 80526-1829
Phone: (970) 224-4358
Fax: (970) 224-4388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 10142 Colorado

Profile Details

NPI number 1154634707
LBN Legal business name Liddle, Justin Kimball
Credentials DMD, CDT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2010
Last updated Jul 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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