Jordan Alexander Lieberman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

016.0133871 Issued in VT

Practice address

10 Mapleville Depot
Saint Albans, VT 05478-1857

Phone

(802) 524-5169

NPI assigned

Apr 11, 2018

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Nov 11, 2025 through Nov 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Jordan Lieberman DDS LLC

  • Dental Clinic/Center
  • Saint Albans, VT
  • NPI 1376412650
  NPD Authorized official

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1619474095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FIELDING LN",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035787",
            "telephone_number": "802-922-0421"
        },
        {
            "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": "802-524-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "JORDAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0133871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Leska, DDS
• Jennifer Levasseur, RPH
• Olivia Nicole Lewallen
• Tal O. Leyshon, M.D.
• Kimberly R. Liberty, APRN
• Julie Hsiao-Wen Lin, MD
• Maureen Keenan Linsenmeir, M.S.
• Heidi Livingston, LIC PSY MA
• LLC Mark Lucas
• Kimberli Lloyd

• Dentist in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Dentist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.