Lieberman, Ian

Lieberman, Ian is an individual health care provider with primary practice located at 491 Delaware St , Tonawanda NY 14150-5350. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Lieberman, Ian can be contacted via phone (716) 693-1299.

Contact Information

Primary practice address
491 Delaware St Tonawanda NY 14150-5350
Phone: (716) 693-1299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 061857 New York

Profile Details

NPI number 1295364164
LBN Legal business name Lieberman, Ian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2020
Last updated Aug 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers