# LIBERTY INDIANA ALEXANDRUNAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Dental of Liberty
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720577448
- **Authorized official:** MARK ALEXANDRUNAS DMD (OWNER)
- **Authorized official phone:** (614) 425-9061

## Contact information

- **Practice address:** 302 S FAIRGROUND ST, LIBERTY, IN 47353-1414
- **Practice address phone:** (614) 935-7677
- **Mailing address:** 3363 KITZMILLER RD, NEW ALBANY, OH 43054-8542
- **Mailing address phone:** (614) 935-7677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12007652B | IN | Yes |

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 05/08/2018