JONATHAN C LIDDELL (D.M.D.) – Dentist, NPI 1104845817

JONATHAN C LIDDELL (D.M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in Dentist. They hold the professional credentials D.M.D.. They hold a License No. 5122081-9922 (UT). The NPI Number for JONATHAN C LIDDELL (D.M.D.) is 1104845817

Main info

Male
Name
JONATHAN C LIDDELL (D.M.D.)
NPI
1104845817
Phone
(801) 359-8282
Address
702 E SOUTH TEMPLE STE 209
Enumeration Date
19 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JONATHAN C LIDDELL (D.M.D.)

  • 702 E SOUTH TEMPLE STE 209

    SALT LAKE CITY, UT 841021795

    Phone: (801) 359-8282

    Fax: (801) 359-8902

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $10.

Total Amount is formed as General ($10) + Research ($0) + Ownership ($0) = $10.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: PureLife, LLC ($10).

Total Amount

$10

General + Research + Ownership

Payments

1

Total payment records

General Amount

$10

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PureLife, LLC$10
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84102)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for JONATHAN C LIDDELL (D.M.D.)?
JONATHAN C LIDDELL (D.M.D.) — NPI 1104845817 — is the standard way to identify this listing.
Can I rely on JONATHAN C LIDDELL (D.M.D.) being an active provider?
As of the registry snapshot, JONATHAN C LIDDELL (D.M.D.) is marked active.
What healthcare role does JONATHAN C LIDDELL (D.M.D.) hold?
Scheduling teams often label JONATHAN C LIDDELL (D.M.D.) under Dentist. Clinical services aligned with this taxonomy classification.
Where should I expect JONATHAN C LIDDELL (D.M.D.) on a map?
Expect Salt Lake City, Utah as a primary anchor for JONATHAN C LIDDELL (D.M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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