Jordan Lieberman DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JORDAN LIEBERMAN DDS LLC

Practice address

10 Mapleville Depot
Saint Albans, VT 05478-1857

Phone

(802) 542-5169

NPI assigned

Nov 4, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Lieberman, DDSNPI 1619474095

Title

Owner

Phone

(802) 922-0421

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Alexander Lieberman, DDS

  • Dentist
  • Saint Albans, VT
  • NPI 1619474095
  NPD Authorized official

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1376412650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAPLEVILLE DEPOT",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAPLEVILLE DEPOT",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781857",
            "telephone_number": "802-542-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN LIEBERMAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-922-0421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C. Nicholson, MD
• Jessica Johnson
• John H Johnson, OD
• Stephanie Johnson
• Brian Lee Jokinen, PA-C
• Ronald H Kaye, DDS
• Maureen (Molly) Ann Keefe, D.C.
• Melissa Keelty
• Cheri Ann Keith, BCBA
• Michael T Kennedy, MD

• Dental Clinic/Center in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Dental Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.