Thomas R Liddell in Salt Lake City - Dentist
Thomas R Liddell - NPI 1104845890
Thomas R Liddell is a Dentist in Salt Lake City, Utah. Thomas R Liddell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas R Liddell is 1104845890. The last update date is 2007-07-08.
Thomas R 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 Thomas R 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 | Thomas R Liddell |
|---|---|
| Address | 702 E South Temple Ste 209, Salt Lake City, Utah |
| Phone Number | 8013598282 |
| Fax Number | 8013598902 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1104845890 |
|---|---|
| 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 | 136965-9922 |
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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 identifier code issued to Thomas R Liddell by the Centers for Medicare & Medicaid Services?
The Thomas R Liddell has been assigned the NPI (National Provider Identifier) 1104845890 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Thomas R Liddell's facilities are situated?
The facilities of Thomas R Liddell are physically located at the following address: 702 E South Temple Ste 209, Salt Lake City, UT, 841021795.
What is the Thomas R Liddell's specialty and taxonomy code?
The Thomas R Liddell's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Thomas R Liddell receive its 1104845890?
The Thomas R Liddell was issued its 1104845890 on 2006-07-19, which is the date when the organization was assigned this unique identifier.
When was the information regarding Thomas R Liddell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Thomas R Liddell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.