Kenneth John Liddiard, DMD

General Practice Dentistry · Pueblo, CO

Individual Active NPI

NPI number 1295792307

Practice location

2025 W Us Highway 50 Ste a100
Pueblo, CO 81008-1571
Phone
(719) 542-2472
Fax
(719) 542-6435

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NPI record

NPI
1295792307
Entity type
Individual (Type 1)
Enumeration date
May 1, 2006
Last updated
October 23, 2020
Certified
October 23, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 00203000 CO

About Dr. Liddiard

Kenneth John Liddiard, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2025 W Us Highway 50 Ste a100, Pueblo, CO 81008-1571. The NPI number 1295792307 was assigned on May 1, 2006 and the record was last updated on October 23, 2020.

Dr. Liddiard lists a license in the registry: #00203000 (CO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth John Liddiard, DMD?

The NPI number is 1295792307.

What is the phone number of Dr. Liddiard?

The phone number listed for the practice location is (719) 542-2472.

Where is Dr. Liddiard located?

2025 W Us Highway 50 Ste a100, Pueblo, CO 81008-1571.

What is the taxonomy code for Dr. Liddiard?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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