LIBERTY DENTAL GROUP (NPI# 1992955306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992955306 |
| Entity Type | Organization |
| Organization Name | LIBERTY DENTAL GROUP |
| Practice Address |
6440 Brentwood Blvd Ste B Brentwood CA 94513-2190 |
| Practice Telephone | 9256343501 |
| Practice Fax Number | 9256341539 |
| Mailing Telephone | 9256343501 |
| Mailing Fax Number | 9256341539 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | DR. R. PAUL KREY (PRESIDENT) |
| Authorized Official Telephone | 9256343501 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
16705 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477005767 | Liberty Dental Group | Dentist | 6440 Brentwood Blvd, Suite B, Brentwood, CA 94513-5789 | 2016-11-02 |
| 1427206515 | Liberty Dental Group | Dentist | 300 Schuylkill Rd, Phoenixville, PA 19460-5202 | 2008-09-03 |
| Street Address |
6440 BRENTWOOD BLVD STE B |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518970060 | R. Paul Krey | Dentist | 6440 Brentwood Blvd Ste B, Brentwood, CA 94513-2190 | 2006-08-15 |
| 1821105388 | Thomas R Greene | Dentist | 6440 Brentwood Blvd Ste B, Brentwood, CA 94513-2190 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346827 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 2221 Balfour Rd Ste D, Brentwood, CA 94513-4932 | 2020-01-30 |
| 1790165140 | Dental Edge.net | Clinic/Center | 6980 Moores Ln, Brentwood, TN 37027-2908 | 2015-06-01 |
| 1639436181 | Missouri College, Inc. | Clinic/Center | 1405 S Hanley Rd, Brentwood, MO 63144-2902 | 2012-04-20 |
| 1174169874 | Gulshan Kumar Dds Inc. | Clinic/Center | 7760 Brentwood Blvd Ste A, Brentwood, CA 94513-1062 | 2019-11-18 |
| 1881248854 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 2201 Balfour Rd Ste A, Brentwood, CA 94513-4927 | 2019-07-29 |
| 1326691551 | Phillip A. Kemp D.d.s. Pllc | Clinic/Center | 5110 Maryland Way Ste 190, Brentwood, TN 37027-7508 | 2019-07-17 |
| 1285193334 | Brighter Dental, Implant PC. | Clinic/Center | 820 Suffolk Ave, Brentwood, NY 11717-4498 | 2019-03-18 |
| 1144732686 | Sleep Better Tennessee | Clinic/Center | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2017-10-24 |
| 1730481540 | Brentwood Pediatric Dentistry, LLC | Clinic/Center | 95 Seaboard Ln, Suite 102, Brentwood, TN 37027-3031 | 2010-11-30 |
| 1003136722 | Cecilia Topacio Fejarang, Dmd, Inc. | Clinic/Center | 141 Sand Creek Rd, Suite G, Brentwood, CA 94513-7390 | 2010-06-03 |
| Find all providers in BRENTWOOD | ||||
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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.