Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Liberty Dental, LLC

Organization Dentist · NPI 1891023263

Liberty Dental, LLC is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2009.

Licensed in
PA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Walnut St
Philadelphia, PA 19106-3904
Phone: (215) 923-2233
Fax: (888) 608-7353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS029647L (PA)

Record details

NPI number1891023263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramon Lugo — President · (215) 923-2233
Other names I-Dentical
NPI enumeratedNovember 24, 2009
Last updated in NPPESNovember 24, 2009
Mailing address200 Walnut St., Philadelphia, PA 19106-3904

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