Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295792307 Individual Practitioner Male Practitioner

Dr. Kenneth John Liddiard , DMD

Dentist - General Practice • Pueblo, CO

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Liddiard, DMD is a registered healthcare professional specializing in Dentist - General Practice in Pueblo, CO. Practice services are available at 2025 W US HIGHWAY 50 STE A100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2025 W Us Highway 50 Ste A100

Pueblo, CO 810081571

Telephone 7195422472
Fax 7195426435
Associated Practice Facility / Clinic
🏢 North Pueblo Dental Partners Facility NPI 1457506586

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pueblo, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
67 Specialists

Practicing in Pueblo, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 00203000

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1104266949

Doctor of Dental Surgery

Dr. Philip Holden , DDS

Dentist - General Practice

NPI 1134226459

Doctor of Dental Surgery

Dr. Elden Rice , DDS

Dentist - General Practice

NPI 1356511406

Doctor of Dental Surgery

Dr. Brady Smith , DDS

Dentist - General Practice

NPI 1356572036

Doctor of Dental Surgery

Dr. Steven Carter , DDS

Dentist - General Practice

NPI 1578653606

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 23, 2020

Registered at 2025 W US HIGHWAY 50 STE A100, PUEBLO, CO 810081571 (Tel: 7195422472)

📍
Updated Business Mailing Address October 23, 2020

Registered at 2025 W US HIGHWAY 50 STE A100, PUEBLO, CO 810081571 (Tel: 7195422472)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2020

Dentist (License #00203000 in CO)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10458 S REDWOOD RD, SOUTH JORDAN, UT 840958501 (Tel: 8013028989)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10458 S REDWOOD RD, SOUTH JORDAN, UT 840958501 (Tel: 8013028989)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH LIDDIARD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #276941 in UT)

🟢
Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295792307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: October 23, 2020
Sole Proprietor: No

Mailing Address

2025 W Us Highway 50 Ste A100

Pueblo, CO 810081571

Phone: 7195422472

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.