Jonathan C Liddell in Salt Lake City - Dentist
Jonathan C Liddell - NPI 1104845817
Jonathan C Liddell is a Dentist in Salt Lake City, Utah. Jonathan C Liddell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jonathan C Liddell is 1104845817. The last update date is 2007-07-08.
Jonathan C Liddell's current location address is 702 E South Temple Ste 209, Salt Lake City, Utah. You can contact this provider via phone number 8013598282 and fax number 8013598902. The mailing address for Jonathan C Liddell is 702 E South Temple Ste 209, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan C Liddell |
|---|---|
| Address | 702 E South Temple Ste 209, Salt Lake City, Utah |
| Phone Number | 8013598282 |
| Fax Number | 8013598902 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1104845817 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 702 E South Temple Ste 209 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841021795 |
| Phone Number | 8013598282 |
| Fax Number | 8013598902 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5122081-9922 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Jonathan C Liddell by the Centers for Medicare & Medicaid Services?
The Jonathan C Liddell has been issued the NPI (National Provider Identifier) 1104845817, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jonathan C Liddell's facilities are geographically located?
The facilities of Jonathan C Liddell are physically situated at the following location: 702 E South Temple Ste 209, Salt Lake City, UT, 841021795.
What is Jonathan C Liddell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan C Liddell's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Jonathan C Liddell receive its 1104845817 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan C Liddell was assigned its 1104845817 on 2006-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jonathan C Liddell most recently updated or revised?
The information pertaining to Jonathan C Liddell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1215930425
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