Dr Jordan Alexander Lieberman, DDS is a
Dentist based in Essex, Vermont. Dr Jordan Alexander Lieberman is licensed to practice in Vermont (license number 016.0133871) and his current practice location is
11 Market Pl, Essex, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 951-4008.
NPI number for Dr Jordan Alexander Lieberman is 1619474095 and his current mailing address is 57 Fielding Ln, South Burlington, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619474095.
Healthcare Provider's Profile
| Full Name | Dr Jordan Alexander Lieberman |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 11 Market Pl, Essex, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619474095
- Provider Enumeration Date: 04/11/2018
- Last Update Date: 11/04/2025
Medical Identifiers
Medical identifiers for Dr Jordan Alexander Lieberman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619474095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 016.0133871 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Alexander Lieberman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Jordan Alexander Lieberman, DDS 57 Fielding Ln, South Burlington, VT 05403-5787 Ph: (802) 922-0421 | Dr Jordan Alexander Lieberman, DDS 11 Market Pl, Essex, VT 05452-2940 Ph: (802) 951-4008 |
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