Individual
DR. NICHOLAS LIBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(215) 503-6215
Mailing address
8008 FOLSOM AUBURN RD, FOLSOM, CA 95630-1664
(916) 932-6037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
110187
CA
122300000X
Dentist
Primary
2023025122
MO
122300000X
Dentist
DS044751
PA
390200000X
Student in an Organized Health Care Education/Training Program
DS044751
PA
Other
Enumeration date
06/27/2023
Last updated
07/23/2025
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