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DR. JEREMY JOHN LIDDIARD D.M.D.
NPI 1003269358
Dentist in Phoenix, AZ

Active since July 21, 2016
12005 N TATUM BLVD, SUITE 105, PHOENIX, AZ 85028(602) 971-0026 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeremy John Liddiard D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY JOHN LIDDIARD D.M.D. (NPI 1003269358) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D009550) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1003269358
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEREMY JOHN LIDDIARDCredential: D.M.D.
Location Address12005 N TATUM BLVD, SUITE 105Phoenix, AZ 85028-1650
Mailing Address12005 N Tatum Blvd, Suite 105Phoenix, AZ 85028-1650 · (602) 971-0026
Phone(602) 971-0026
Sole ProprietorNo
Enumeration DateJuly 21, 2016
✔ NPI 1003269358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D009550
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12005 N TATUM BLVD, Phoenix, AZ 85028
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TYLER W CLAYTON D.M.D
Dentist (General Practice)
12005 N TATUM BLVD
PHOENIX, AZ 85028
Maricopa County (302) 971-0026
TATUM SMILES, LLP
Dentist (General Practice)
12005 N TATUM BLVD, STE. 105
PHOENIX, AZ 85028
Maricopa County (602) 971-0026
DR. SIBERA TROY BRANNON DDS
Dentist (General Practice)
12005 N TATUM BLVD, STE. 105
PHOENIX, AZ 85028
Maricopa County (602) 971-0026
DR. JENNIFER M BAYER DDS
Dentist
12005 N TATUM BLVD, STE 105
PHOENIX, AZ 85028
Maricopa County (602) 971-0026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Liddiard's NPI number?

The NPI number for Jeremy Liddiard is 1003269358. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Jeremy Liddiard located?

Jeremy Liddiard practices at 12005 N Tatum Blvd Suite 105, Phoenix, AZ 85028. The listed phone number is (602) 971-0026.

What is Jeremy Liddiard's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jeremy Liddiard accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jeremy Liddiard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Liddiard was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.