Liberty Dental, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017534 Issued in MI

Legal business name

LIBERTY DENTAL, PLC

Practice address

3688 W Liberty Rd
Ann Arbor, MI 48103-9056

Phone

(734) 665-0481

Fax

(734) 665-9134

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kristin Elizabeth Johnson, DDSNPI 1023141645

Title

Owner

Phone

(734) 665-0481

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Elizabeth Johnson, D.D.S.

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1023141645
  NPD (past) Authorized official
• Charles Michael Hellie, DDS,MS

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1811020332
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1114182862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3688 W LIBERTY RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039056",
            "telephone_number": "734-665-0481",
            "fax_number": "734-665-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 W LIBERTY RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039056",
            "telephone_number": "734-665-0481",
            "fax_number": "734-665-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-665-0481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ya-Ting Liang
• Eric Albert Liao, MD
• Renee Libbrecht
• Reena Liberman, M.S.
• Liberty Dental Associates, PLC
• Liberty Dentistry PLLC
• Liberty Pediatrics PLLC
• Israel Liberzon, M.D.
• Liborio L Santoro DPM PC
• Sinead Carmel Licari, CNM

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.