Active NPI
Liberty Dental Plan East, LLC
- Health Maintenance Organization
- Tustin, CA
National Provider Identifier
1750848412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- LIBERTY DENTAL PLAN EAST, LLC
- Practice address
- 1730 Flight Way Ste 125
Tustin, CA 92782-1828 - Phone
- (888) 703-6999
- NPI assigned
- Feb 28, 2019
- Organization subpart
- Yes
- Parent organization
- LIBERTY DENTAL PLAN CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marzena Fercz
- Title
- Chief Compliance Officer
- Phone
- (888) 703-6999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
1730 Flight Way Ste 125
Tustin, CA 92782-1828
Mailing address
1730 Flight Way Ste 125
Tustin, CA 92782-1828
Phone (888) 703-6999
National Provider Directory
National Provider Directory- Part of
- Liberty Dental Plan Corporation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1750848412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 FLIGHT WAY STE 125",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821828",
"telephone_number": "888-703-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 FLIGHT WAY STE 125",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821828",
"telephone_number": "888-703-6999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY DENTAL PLAN EAST, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIBERTY DENTAL PLAN CORPORATION",
"enumeration_date": "2019-02-28",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "FERCZ",
"authorized_official_first_name": "MARZENA",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "888-703-6999"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
- Alan Liberman, PH.D.
- Liberty Benefits Administrators, Inc.
- Liberty Dental and Vision, Inc.
- Liberty Dental Plan
- Liberty Dental Plan Corporation
- Liberty Dental Plan New York Ipa, LLC
- Liberty Dental Plan of Missouri, Inc.
- Liberty Dental Plan of New Jersey, Inc.
- Liberty Dental Plan of New York, Inc.
- Liberty Dental Plan of Oklahoma, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.