Jay E. Lieberman, D.M.D.

General Practice Dentistry · Park City, UT

Individual Active NPI

NPI number 1245474428

Practice location

559 Woodside Ave
Park City, UT 84060-0513
Phone
(435) 649-0420

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NPI record

NPI
1245474428
Entity type
Individual (Type 1)
Enumeration date
May 1, 2009
Last updated
May 1, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5753918-9921 UT

Mailing address

PO Box 513
Park City, UT 84060-0513
Phone
(425) 649-0420

About Dr. Lieberman

Jay E. Lieberman, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 559 Woodside Ave, Park City, UT 84060-0513. The NPI number 1245474428 was assigned on May 1, 2009 and the record was last updated on May 1, 2009.

Dr. Lieberman lists a license in the registry: #5753918-9921 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay E. Lieberman, D.M.D.?

The NPI number is 1245474428.

What is the phone number of Dr. Lieberman?

The phone number listed for the practice location is (435) 649-0420.

Where is Dr. Lieberman located?

559 Woodside Ave, Park City, UT 84060-0513.

What is the taxonomy code for Dr. Lieberman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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