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

Liberty Dental Plan New York IPA, LLC

Organization Health Maintenance Organization · NPI 1063903607

Liberty Dental Plan New York IPA, LLC is a Health Maintenance Organization in Tustin, California. Registered with an NPI since 2018.

In the registry since
2018
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

1730 Flight Way Ste 125
Tustin, CA 92782-1828
Phone: (888) 703-6999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X

Record details

NPI number1063903607
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLiberty Dental Plan Corporation
Authorized official Marzena Fercz — Chief Compliance Officer · (888) 703-6999
NPI enumeratedMay 18, 2018
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address1730 Flight Way Ste 125, Tustin, CA 92782-1828

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