KENNETH JOHN LIDDIARD DMD
NPI 1295792307
Dentist - General Practice in Pueblo, CO

Q: What is Kenneth Liddiard's NPI number?

The NPI number for Kenneth Liddiard is 1295792307. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Kenneth Liddiard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Liddiard was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 01, 2006

2025 W US HIGHWAY 50 STE A100, PUEBLO, CO 81008(719) 542-2472(719) 542-6435 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth John Liddiard Dmd NPPES

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

KENNETH JOHN LIDDIARD DMD (NPI 1295792307) is an individual general practice provider in Pueblo, Colorado, licensed in Colorado (00203000) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1295792307

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKENNETH JOHN LIDDIARDCredential: DMD

Location Address2025 W US HIGHWAY 50 STE A100Pueblo, CO 81008-1571

Mailing Address2025 W Us Highway 50 Ste A100Pueblo, CO 81008-1571 · (719) 542-2472 · Fax (719) 542-6435

Phone(719) 542-2472

Fax(719) 542-6435

Sole ProprietorNo

Enumeration DateMay 1, 2006

Last NPPES UpdateOctober 23, 2020

NPPES CertifiedOctober 23, 2020

✔ NPI 1295792307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · 00203000

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2025 W US HIGHWAY 50 STE A100, Pueblo, CO 81008

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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 ›

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 Kenneth Liddiard's NPI number?

The NPI number for Kenneth Liddiard is 1295792307. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Kenneth Liddiard located?

Kenneth Liddiard practices at 2025 W Us Highway 50 Ste A100, Pueblo, CO 81008. The listed phone number is (719) 542-2472.

What is Kenneth Liddiard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kenneth 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 Kenneth 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 Kenneth Liddiard was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.