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LIDDELL FAMILY DENTISTRY NPI 1346458932


NPI Information

NPI: 1346458932
Provider Name: LIDDELL FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
702 E SOUTH TEMPLE STE 209
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 359-8282
Get Directions

LIDDELL FAMILY DENTISTRY is a general practice dentist in Salt Lake City, UT. The provider is 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. LIDDELL FAMILY DENTISTRY NPI is 1346458932. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

702 E SOUTH TEMPLE STE 209
SALT LAKE CITY, UT
ZIP 84102-795
Phone: (801) 359-8282

The provider's authorized official is Jonathan C Liddell .
The authorized official title is Partner and has the following contact phone number (801) 733-0406.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 2/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice22-13695-9922UTAHNo
21223G0001XDentistGeneral Practice512081-9922UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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