NPIMap

Organization Active NPI

Liberty Family & Cosmetic Dentistry, Inc.

  • General Practice Dentistry
  • Youngstown, OH
National Provider Identifier
1982063087
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18108 Issued in OH
Legal business name
LIBERTY FAMILY & COSMETIC DENTISTRY, INC.
Practice address
3530 Belmont Ave
Liberty Centre Suite 11
Youngstown, OH 44505-1400
Phone
(330) 759-1897
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Dr. Philip Brian Smaldino, D.D.S.
Title
President
Phone
(330) 757-2412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18108 OH Primary

Addresses

Primary practice location

3530 Belmont Ave
Liberty Centre Suite 11
Youngstown, OH 44505-1400

Mailing address

3530 Belmont Ave
Liberty Centre Suite 11
Youngstown, OH 44505-1400
Phone (330) 759-1897

National Provider Directory

National Provider Directory

Locations

3530 Belmont Ave
Ste 11
Youngstown, OH 44505
Phone (330) 759-1897

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1982063087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 BELMONT AVE",
            "address_2": "LIBERTY CENTRE SUITE 11",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051400",
            "telephone_number": "330-759-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 BELMONT AVE",
            "address_2": "LIBERTY CENTRE SUITE 11",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051400",
            "telephone_number": "330-759-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FAMILY & COSMETIC DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "SMALDINO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-757-2412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.