DR. JOSEPH MICHAEL DE LIBERO (NPI# 1124074075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124074075 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MICHAEL DE LIBERO |
| Credential | DDS |
| Practice Address |
5825 Landerbrook Dr #122 Mayfield Hts OH 44124-6532 |
| Practice Telephone | 4404610327 |
| Practice Fax Number | 4406461327 |
| Mailing Telephone | 4404610327 |
| Mailing Fax Number | 4406461327 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
15136 | OH | Dental Providers |
| Street Address |
5825 LANDERBROOK DR #122 |
| City | MAYFIELD HTS |
| State | OH |
| Zip Code | 44124-6532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811390552 | Ryan Terrence Wenger | Dentist | 5825 Landerbrook Dr, Suite 224, Mayfield Hts, OH 44124-6532 | 2014-10-08 |
| 1194066688 | Thomas J Drockton | Dentist | 5825 Landerbrook Dr, Suite 222, Mayfield Hts, OH 44124-6532 | 2013-03-07 |
| 1669642336 | Jonathan Harold Ross | Dentist | 5825 Landerbrook Dr, Ste. 221, Mayfield Hts, OH 44124-6532 | 2008-03-09 |
| 1306951892 | Marie Apolonia Calabrese | Dentist | 5825 Landerbrook Dr, Suite 123, Mayfield Hts, OH 44124-6532 | 2006-08-21 |
| 1962413161 | William Robert Nemeth | Dentist | 5825 Landerbrook Dr, Suite 223, Mayfield Hts, OH 44124-6532 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174779714 | Charles John Kalinsky | Dentist | 1430 Som Center Rd, Mayfield Hts, OH 44124-2123 | 2008-08-14 |
| 1609086354 | Douglas Reid Leavitt | Dentist | 5867 Mayfield Rd, Mayfield Hts, OH 44124-2931 | 2007-05-23 |
| 1447477856 | Richard Joseph Depaul Jr. | Dentist | 1232 Som Center Rd, Mayfield Hts, OH 44124-2047 | 2007-04-19 |
| 1780741389 | Gary D. Myers | Dentist | 6803 Mayfield Rd Ste 209, Mayfield Hts, OH 44124-2212 | 2007-01-02 |
| 1477624328 | Sarmad Channo | Dentist | 5875 Landerbrook Dr, Mayfield Hts, OH 44124-6511 | 2006-11-13 |
| 1780755462 | Pasquale Dellagatta | Dentist | 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124-6502 | 2006-11-13 |
| 1619059227 | Sam S Jaffe | Dentist | 6140 Parkland Blvd, #100 American Dental Centers, Mayfield Hts, OH 44124 | 2006-10-20 |
| 1619151065 | Nimesha Patel | Dentist | 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124-6502 | 2007-12-20 |
| 1457532145 | Albert J Kanter | Dentist | 6803 Mayfield Rd, 306, Mayfield Hts, OH 44124-2271 | 2007-11-21 |
| 1720272230 | Mit Brahmbhatt | Dentist | 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124-6502 | 2007-08-29 |
| Find all providers in MAYFIELD HTS | ||||
| City | MAYFIELD HTS |
| Zip Code | 44124 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.