Justin P Liggett DDS Inc
Organization Active NPI Dental Clinic/Center · Sonora, CA
NPI 1104400928 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1104400928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- JUSTIN P LIGGETT DDS INC
- Practice address
- 765 Morning Star Dr
Sonora, CA 95370-5193 - Phone
- (209) 532-7418
- Fax
- (209) 533-3515
- NPI assigned
- May 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Justin Page Liggett, DDS
- Title
- Dentist
- Phone
- (209) 532-7418
Practitioners 3
-
Justin Liggett, DDS
-
Austin Owen, DDS
-
Robert Zachary Rasco, DDS
National Provider Directory
Locations
765 Morning Star Dr
Sonora, CA 95370
Phone (209) 532-7418
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
765 Morning Star Dr
Sonora, CA 95370-5193
Mailing address
765 Morning Star Dr
Sonora, CA 95370-5193
Phone (209) 532-7418
Other providers in Sonora, CA
- Jenna Gabrielle Johnson
- Sharon Rose Johnson
- Christopher Lee Jones
- Julie Kathleen Jones
- Steven Martin Joye
- Deborah L Kagay
- Kimberly Sue Kahler
- Navita Kalair
- Karen Kallas
- Mujibullah Karimi
All providers in Sonora, CA · Dental Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.