Liver

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LIVER

Practice address

1111 Columbia St
Port Angeles, WA 98362-4207

Phone

(360) 565-5066

NPI assigned

Jun 17, 2026

Organization subpart

No

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

Authorized official

Name

Ethan Livermont, DDS

Title

Owner/Partner

Phone

(360) 565-5066

Specialties & licenses 1

Addresses

Other names 1

• Eleven Eleven Dental Doing business as

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1619802758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SEQUIM BAY RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983828406",
            "telephone_number": "360-565-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 COLUMBIA ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624207",
            "telephone_number": "360-565-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "LIVERMONT",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "360-565-5066",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eleven Eleven Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Lier
• Thomas Lindley
• Charlene Mary Lindorfer
• Gib Kirk Linzman, DO
• Larry Brian Little, D.M.D
• Birgit Llewellyn
• Thomas Henry Locke, MD MPH
• Kendra Loebs, ARNP
• Emma Logan, DPT
• Megan Kelly Long

• General Practice Dentistry in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.