Liberty Dental Plan

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

LIBERTY DENTAL PLAN

Practice address

1730 Flight Way Ste 125
Tustin, CA 92782-1828

Phone

(888) 703-6999

Fax

(949) 223-0011

NPI assigned

May 3, 2007

Organization subpart

No

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

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1932321551",
    "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",
            "fax_number": "949-223-0011"
        },
        {
            "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",
            "fax_number": "949-223-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DENTAL PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "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": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Shih-I Liao, PH.D.
• Leanne Alexis Libas, ASW
• Alan Liberman, PH.D.
• Liberty Benefits Administrators, Inc.
• Liberty Dental and Vision, Inc.
• Liberty Dental Plan Corporation
• Liberty Dental Plan East, LLC
• Liberty Dental Plan New York Ipa, LLC
• Liberty Dental Plan of Missouri, Inc.
• Liberty Dental Plan of New Jersey, Inc.

• Health Maintenance Organization in Tustin, CA
• Providers in Tustin, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.