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DR. JUSTIN KIMBALL LIDDLE DMD, CDT
NPI 1154634707
Dentist - Prosthodontics in Fort Collins, CO

Active since July 23, 2010
2001 S SHIELDS ST STE B1, FORT COLLINS, CO 80526(970) 224-4358(970) 224-4388 Get Directions Write a Review

NPPES record last updated: July 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin Kimball Liddle Dmd, Cdt NPPES

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

DR. JUSTIN KIMBALL LIDDLE DMD, CDT (NPI 1154634707) is an individual prosthodontics provider in Fort Collins, Colorado, licensed in Colorado (10142) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1154634707
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. JUSTIN KIMBALL LIDDLECredential: DMD, CDT
Location Address2001 S SHIELDS ST STE B1Fort Collins, CO 80526-1829
Mailing Address2001 S Shields St Ste B1Fort Collins, CO 80526-1829 · (970) 224-4358 · Fax (970) 224-4388
Phone(970) 224-4358
Fax(970) 224-4388
Sole ProprietorNo
Enumeration DateJuly 23, 2010
✔ NPI 1154634707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CO · 10142
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.
2001 S SHIELDS ST STE B1, Fort Collins, CO 80526
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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 Justin Liddle's NPI number?

The NPI number for Justin Liddle is 1154634707. It was assigned to this individual provider in the NPPES registry on July 23, 2010.

Where is Justin Liddle located?

Justin Liddle practices at 2001 S Shields St Ste B1, Fort Collins, CO 80526. The listed phone number is (970) 224-4358.

What is Justin Liddle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Justin Liddle was last updated on July 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.