Liddell Family Dentistry
LBN: Liddell Family Dentistry
Liddell Family Dentistry is an health care organization with primary practice located at 702 E South Temple Ste 209 , Salt Lake City UT 84102-1795. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Liddell Family Dentistry can be contacted via phone (801) 359-8282, or through Liddell, Jonathan C via phone (801) 733-0406.
Contact Information
Primary practice address
702 E South Temple Ste 209
Salt Lake City UT 84102-1795
Phone: (801) 359-8282
Fax:
Website:
Authorized official contact:
Name: Liddell, Jonathan C Doctor of Dental Medicine (DMD)
Phone: (801) 733-0406
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 512081-9922 | Utah |
Dental Providers / General Practice | 1223G0001X | 22-13695-9922 | Utah |
Profile Details
NPI number | 1346458932 |
---|---|
LBN Legal business name | Liddell Family Dentistry |
DBA Doing business as | |
Authorized official | Liddell, Jonathan C Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 18th, 2007 |
Last updated | Feb 26th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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