Liberty Dental Associates PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIBERTY DENTAL ASSOCIATES PC

Practice address

300 Schuylkill Rd FL 1
Phoenixville, PA 19460-5202

Phone

(215) 390-4672

NPI assigned

Sep 16, 2022

Last updated

Sep 16, 2022By 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

Dilip Dudhat

Title

President

Phone

(215) 237-6099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1407578289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SCHUYLKILL RD FL 1",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCHUYLKILL RD FL 1",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605202",
            "telephone_number": "215-390-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "DUDHAT",
        "authorized_official_first_name": "DILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-237-6099"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennine M Lemke, M.S.
• Natalie Anne Lennox, M.ED., NCC
• Carys Levin, M.S.S., L.C.S.W.
• David W Levy, MD
• Victor Li, MD
• Liberty Dental Group
• Amanda Linda Light, MD
• Mark Liskey, LMT
• Frederic Eliot Liss, MD
• Robert Scott Livingston, DC

• Dental Clinic/Center in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.