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

Dr. Justin Kimball Liddle, DMD, CDT

Individual provider Prosthodontics · NPI 1154634707

Dr. Justin Kimball Liddle, DMD, CDT is a Prosthodontics in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2010.

Licensed in
CO
In the registry since
2010
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

2001 S Shields St Ste B1
Fort Collins, CO 80526-1829
Phone: (970) 224-4358
Fax: (970) 224-4388
Show map & directions

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

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 10142 (CO)

Record details

NPI number1154634707
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , CDT
Sole proprietorNo
NPI enumeratedJuly 23, 2010
Last updated in NPPESJuly 23, 2010

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