DR. ANDREW L LIEBERMAN (NPI# 1588700371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588700371 |
| Entity Type | Individual |
| Full Name | DR. ANDREW L LIEBERMAN |
| Credential | D.M.D. |
| Practice Address |
1245 N Providence Rd Media PA 19063-1210 |
| Mailing Address |
120 Carli Dr Broomall PA 19008-2011 |
| Practice Telephone | 6105655077 |
| Mailing Telephone | 6103530656 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS031597L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669554614 | Andrew Paul Lieberman | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-19 |
| Street Address |
1245 N PROVIDENCE RD |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659461937 | Rose Tree Dental Group PC | Dentist | 1245 N Providence Rd, Media, PA 19063-1210 | 2006-10-15 |
| 1992051429 | Alexandra Hochster-korman | Dentist | 1245 N Providence Rd, Media, PA 19063-1210 | 2012-08-02 |
| 1629199484 | Anastassios Koussis | Dentist | 1245 N Providence Rd, Media, PA 19063-1210 | 2007-04-02 |
| 1508900556 | William Brereton Mucklow | Dentist | 1245 N Providence Rd, Media, PA 19063-1210 | 2007-02-16 |
| 1669528832 | Andrew M Rosen | Dentist | 1245 N Providence Rd, Media, PA 19063-1210 | 2007-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| 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 |
|---|---|---|---|---|
| 1699231118 | Media Dental Associates Dmd LLC | Dentist | 511 N Providence Rd, Media, PA 19063-2518 | 2019-02-20 |
| 1700127859 | Sepideh Sazegari | Dentist | 1180 W Baltimore Pike, Media, PA 19063-5128 | 2013-03-13 |
| 1083961056 | Joseph John Paradine | Dentist | 350 S. Providence Rd, Media, PA 19063 | 2012-08-09 |
| 1679720577 | Levente Zsolt Bodak-gyovai | Dentist | 50 Wyncroft Dr, Media, PA 19063-4842 | 2008-08-21 |
| 1255536546 | Jaclyn Meredith Wertheimer | Dentist | 610 E Baltimore Pike, Media, PA 19063-1750 | 2007-06-18 |
| 1134330343 | Braden Dental Group | Dentist | 214 State Rd, Media, PA 19063-1319 | 2007-05-28 |
| 1437373529 | Gregory A. Hillyard | Dentist | 47 State Rd, Media, PA 19063-1544 | 2007-04-12 |
| 1023232873 | American Dental Care PC | Dentist | 1003 E Baltimore Pike, Media, PA 19063-5135 | 2007-04-12 |
| 1821114745 | Media Smiles PC | Dentist | 1215 W Baltimore Pike Ste 12, Media, PA 19063-5540 | 2007-03-22 |
| 1013031020 | William R. Gilkey | Dentist | 1003 West Baltimore Pk., Media, PA 19063-5121 | 2007-03-16 |
| Find all providers in MEDIA | ||||
Please comment or provide details below to improve the information on DR. ANDREW L LIEBERMAN.
| 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.