Liberty Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7244 Issued in OR

Legal business name

LIBERTY DENTAL CARE PC

Practice address

1655 Liberty St SE
Salem, OR 97302-4347

Phone

(503) 585-2440

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lee, DDS

Title

President, Owner

Phone

(503) 585-2440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1629285143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024347",
            "telephone_number": "503-585-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "503-585-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Xun Li, LAC
• Jenna Leann Li, LPC, CADC I
• Shangjian Li
• Sung Li, LMT
• Bushra Liaqat, DDS
• Liberty Denture Clinic, LLC
• Liberty House
• Liberty Mental Health Clinic
• Liberty Spine & Pain Center P C
• David Lichtenberger

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.