Liberty Dental Centers

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LIBERTY DENTAL CENTERS

Practice address

102 Galleria Plaza
Beckley, WV 25801

Phone

(681) 207-7063

NPI assigned

Jan 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Patrick D Jarrell, DDS

Title

Owner/Provider

Phone

(681) 207-7063

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary William Ransom, DDS

  • General Practice Dentistry
  • Beckley, WV
  • NPI 1154200681
  NPD (past)
• Katelyn Tomlin, DDS

  • General Practice Dentistry
  • Beckley, WV
  • NPI 1396632444
  NPD (past)

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1679046049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GALLERIA PLAZA",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GALLERIA PLAZA",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "681-207-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DENTAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "681-207-7063",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

• Kimberlin Lewis
• Kristen Lewis
• Melissa S Lewis, LICSW
• Sierra J Lewis
• Jie Li, CRNA
• Jacqueline Lee Lickliter, D.O.
• Life Strategies Counseling Services Inc.
• Lifechangers Family Services LLC
• Jenny Lynn Lilley
• Ann Mills Lilly, MSN

• General Practice Dentistry in Beckley, WV
• Providers in Beckley, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.