Sue Eileen Liebenthal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14228 Issued in MI

Practice address

19 W South St
Hartford, MI 49057-1236

Phone

(269) 621-6441

Fax

(269) 621-3579

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS. Ed & Sue Liebenthal PLC

  • General Practice Dentistry
  • Hartford, MI
  • NPI 1346340817
  NPD (past)
• Seth Griffin DDS PLLC

  dba Hartford Family Dental Care

  • Dental Clinic/Center
  • Hartford, MI
  • NPI 1164995429
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447464060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W SOUTH ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571236",
            "telephone_number": "269-621-6441",
            "fax_number": "269-621-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W SOUTH ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571236",
            "telephone_number": "269-621-6441",
            "fax_number": "269-621-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBENTHAL",
        "first_name": "SUE",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Jay Koster, COUNSELRO EDUC LTD
• Taylor Kucharski
• Lakeland Community Hospital Watervliet (Corewell Health Watervliet Hospital Primary Care - Hartford)
• Samie Ledyard, LLPC, MA
• Edward William Liebenthal, D.D.S.
• Laura M Long
• Ahad E Lotfi, DC
• Mookambika Inc
• Mookambika Inc (Hartford Pharmacy)
• Riley Michelle Munson

• General Practice Dentistry in Hartford, MI
• Providers in Hartford, 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 8, 2007; 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.