NPI 1003950833

Joseph Doyle Liddle, DDS

Practitioner Dentist American Fork, UT

Practice location

Address: 120 North Center, American Fork, UT 84003
Phone: (801) 756-3377

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 131651 (UT)

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Registry record

NPI: 1003950833
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.