Todd C. Liston in Bountiful - Oral And Maxillofacial Surgery

Todd C. Liston - NPI 1598835506

Todd C. Liston is a Oral And Maxillofacial Surgery in Bountiful, Utah. Todd C. Liston practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Todd C. Liston is 1598835506. The last update date is 2007-07-08.

Todd C. Liston's current location address is 469 Medical Dr Ste 202, Bountiful, Utah. You can contact this provider via phone number 8012998531 and fax number 8012999667. The mailing address for Todd C. Liston is 469 Medical Dr Ste 202, Bountiful, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Todd C. Liston
Address 469 Medical Dr Ste 202, Bountiful, Utah
Phone Number 8012998531
Fax Number 8012999667
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1598835506
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 469 Medical Dr Ste 202
City Bountiful
State Utah (UT)
Post Code 840108921
Phone Number 8012998531
Fax Number 8012999667

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 260605
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Todd C. Liston

What is the unique provider identifier assigned to Todd C. Liston?

The Todd C. Liston has been issued the NPI (National Provider Identifier) 1598835506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Todd C. Liston?

The Todd C. Liston is physically situated at 469 Medical Dr Ste 202, in the city of Bountiful, state of UT, with the postal code 840108921.

What is the Todd C. Liston's specialty and taxonomy code?

The Todd C. Liston's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services assign the 1598835506 to Todd C. Liston?

The Centers for Medicare & Medicaid Services assigned the 1598835506 to Todd C. Liston on 2006-11-08.

When was the information pertaining to Todd C. Liston most recently updated or revised?

The details related to Todd C. Liston, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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