DR. JORDAN ALEXANDER LIEBERMAN (NPI# 1619474095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619474095 |
| Entity Type | Individual |
| Full Name | DR. JORDAN ALEXANDER LIEBERMAN |
| Credential | DDS |
| Practice Address |
62 Merchants Row Williston VT 05495 |
| Mailing Address |
110 Winooski Falls Way Unit 306 Winooski VT 05404-2283 |
| Practice Telephone | 8029514008 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 016.0133871 | VT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750596607 | Jordan Lieberman | Psychiatry & Neurology | Uchc C/o Nj Doc, Whittlesey Rd & Stuyvesant Ave, Bates Building, 2nd Floor, Trenton, NJ 08625-0863 | 2007-05-14 |
| Street Address |
62 MERCHANTS ROW |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1639528367 | Quality Hearing Instruments LLC | Hearing Aid Equipment | 62 Merchants Row, Unit 105, Williston, VT 05495-4476 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| 1679882351 | New England Counseling and Trauma Associate | Counselor | 25 Wentworth Drive, Williston, VT 05495 | 2010-09-29 |
| Find all providers in zip 05495 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588810204 | Scott Thomas Ellis | Dentist | 501 Main St Ste 4, Williston, ND 58801-5327 | 2008-08-13 |
| 1326224601 | Chandrakant Dave | Dentist | 510 Sw 5th Ter, Williston, FL 32696-2548 | 2008-01-16 |
| 1538220389 | Dr Ron J Seeley D D S PC | Dentist | 2224 1st Avenue West, Williston, ND 58801 | 2006-12-13 |
| 1982214623 | Ilya Kvartin | Dentist | 62 Merchants Row Ste 104, Williston, VT 05495-4476 | 2020-08-07 |
| 1811480155 | Ashley Beard | Dentist | 2224 1st Ave W, Williston, ND 58801-6286 | 2018-06-12 |
| 1730619594 | Catherine Alexandra Koubek | Dentist | 630 N Main St, Williston, FL 32696-1705 | 2017-06-14 |
| 1558746271 | Buntrock Detnal PC | Dentist | 2204 2nd Ave W, Suite 102, Williston, ND 58801-3485 | 2015-07-23 |
| 1487066908 | John W. Hamilton Dds PC | Dentist | 2204 2nd Ave W, Suite 101, Williston, ND 58801-3485 | 2014-06-02 |
| 1548536493 | Natalie Crawford | Dentist | 2224 1st Ave W, Williston, ND 58801-6286 | 2012-03-26 |
| 1154575199 | Randolph R. Pitzer Dds PC | Dentist | 2224 1st Ave W, Williston, ND 58801-6286 | 2008-11-04 |
| Find all providers in WILLISTON | ||||
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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.