NPI 1003161191

Michael Brian Lieberman, DDS

Practitioner Pediatric Dentistry Farmington Hills, MI

Practice location

Address: 35305 Valley Forge Dr, Farmington Hills, MI 48331-3216
Phone: (248) 320-8540
Mailing address: 2000 Broadway APT 20b, New York, NY 10023-5043

Registered specialties (5)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 060287 (NY)

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Dentist

Dental Providers Taxonomy 122300000X Licence 2901021171 (MI)

Dentist

Dental Providers Taxonomy 122300000X Licence 019029781 (IL)

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X Licence DS040221 (PA)

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X Licence 021002603 (IL)

Registry record

NPI: 1003161191
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2012
Record last updated: 20 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.