Organization
JORDAN LIEBERMAN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN LIEBERMAN DDS (OWNER)
(802) 922-0421
Entity
Organization
Contact information
Practice address
10 MAPLEVILLE DEPOT, SAINT ALBANS, VT 05478-1857
(802) 542-5169
Mailing address
10 MAPLEVILLE DEPOT, SAINT ALBANS, VT 05478-1857
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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