National Provider Identifier
Ian Lieberman, DDS
Ian Lieberman, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Tonawanda, NY and a listed phone number of (716) 693-1299.
Profile Overview
- NPI
- 1295364164
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- April 03, 2020
- Last Updated
- August 18, 2021
Practice Location
- 491 Delaware St
- Tonawanda, NY 14150-5350
Phone: (716) 693-1299
Specialties
- General Practice Dentistry (1223G0001X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1295364164
- Entity Type
- Individual
- Last Name
- Lieberman
- First Name
- Ian
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 491 Delaware St
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-5350
- Mailing Country
- US
- Mailing Phone
- (716) 693-1299
- Practice Street Address
- 491 Delaware St
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-5350
- Practice Country
- US
- Practice Phone
- (716) 693-1299
- Enumeration Date
- April 03, 2020
- Last Updated
- August 18, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)