JESSICA R LIU DMD
NPI 1396478228
Dentist - General Practice in Coolidge, AZ

Active since July 07, 2022
1501 N ARIZONA BLVD, COOLIDGE, AZ 85128(520) 723-1700 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2024, Apr 11, 2024, Jul 7, 2022 (3 updates tracked since 2022).

About Jessica R Liu Dmd NPPES

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

JESSICA R LIU DMD (NPI 1396478228) is an individual general practice provider in Coolidge, Arizona, licensed in Arizona (D011827) and active in the NPI registry since July 2022. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1396478228
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJESSICA R LIUCredential: DMD
Location Address1501 N ARIZONA BLVDCoolidge, AZ 85128-3215
Mailing Address1501 N Arizona BlvdCoolidge, AZ 85128-3215
Sole ProprietorYes
Enumeration DateJuly 7, 2022
Last NPPES UpdateApril 19, 20243 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
NPI 1396478228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · D011827
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.

1501 N ARIZONA BLVD, Coolidge, AZ 85128

Secondary Practice Location 1

Location 13710 SW US Veterans Hospital RdPortland, OR 97239-2964 · Phone (503) 220-8262

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dentist
1501 N ARIZONA BLVD
COOLIDGE, AZ 85128
Dentist (General Practice)
1501 N ARIZONA BLVD
COOLIDGE, AZ 85128
Dentist
1501 N ARIZONA BLVD
COOLIDGE, AZ 85128
Dentist
1501 N ARIZONA BLVD
COOLIDGE, AZ 85128
Dentist
1501 N ARIZONA BLVD
COOLIDGE, AZ 85128
Dentist
1501 N ARIZONA BLVD
COOLIDGE, AZ 85128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396478228, enumerated as an "individual" on July 07, 2022.

The provider is located at 1501 N ARIZONA BLVD COOLIDGE, AZ 85128 and the phone number is (520) 723-1700.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.