Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremy John Liddiard, DMD

Individual provider Dentist · NPI 1003269358

Dr. Jeremy John Liddiard, DMD is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

12005 N Tatum Blvd Ste 105
Phoenix, AZ 85028-1650
Phone: (602) 971-0026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D009550 (AZ)

Record details

NPI number1003269358
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 21, 2016
Last updated in NPPESJuly 21, 2016

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