DR. STUART E LIEBLICH (NPI# 1245260215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245260215 |
| Entity Type | Individual |
| Full Name | DR. STUART E LIEBLICH |
| Credential | D.M.D. |
| Practice Address |
34 Dale Rd Suite 105 Avon CT 06001-3659 |
| Practice Telephone | 8606748079 |
| Practice Fax Number | 8606768242 |
| Mailing Telephone | 8606748079 |
| Mailing Fax Number | 8606768242 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
006493 | CT | Dental Providers |
| Street Address |
34 DALE RD SUITE 105 |
| City | AVON |
| State | CT |
| Zip Code | 06001-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887633 | Ira M Greene | Dentist | 34 Dale Rd, Avon, CT 06001-3659 | 2005-11-01 |
| 1720512510 | Rebekah Smith | Specialist/Technologist | 34 Dale Rd, Avon, CT 06001-3659 | 2017-04-18 |
| 1154516748 | Farmington Valley Orthopedic Associates, P.C. | Orthopaedic Surgery | 34 Dale Rd, Avon, CT 06001 | 2007-09-07 |
| 1881893717 | Daniel John Gill | Dentist | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 | 2007-07-11 |
| 1801013727 | Avon Oral and Maxillofacial Surgery, LLP | Dentist | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 | 2007-04-20 |
| 1497877575 | Kathleen Carolyn Wawrzyniak Webb | Psychologist | 34 Dale Rd, Suite 212, Avon, CT 06001-3659 | 2007-04-06 |
| 1174654941 | Sherald Patricia Eklund | Nurse Practitioner | 34 Dale Rd, Suite 205, Avon, CT 06001-3659 | 2007-03-07 |
| 1285786897 | Marilyn Rotondo | Social Worker | 34 Dale Rd, Avon, CT 06001-3659 | 2007-01-17 |
| 1043387384 | Steven David Bond | Specialist | 34 Dale Rd, Avon, CT 06001-3659 | 2006-11-30 |
| 1245307438 | David Barry Burstein | Specialist | 34 Dale Rd, Suite 208, Avon, CT 06001-3659 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149236 | Robert Edward Sexton | Dentist | 6695 E Us Highway 36, Avon, IN 46123-8923 | 2005-07-21 |
| 1881893717 | Daniel John Gill | Dentist | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 | 2007-07-11 |
| 1801013727 | Avon Oral and Maxillofacial Surgery, LLP | Dentist | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 | 2007-04-20 |
| 1275563256 | Mark C Fletcher | Dentist | 34 Dale Rd, Suite 105, Avon, CT 06001-3659 | 2006-07-04 |
| 1265479737 | Avon Oral & Maxillofacial Surgery LLP | Dentist | 6695 E Us Highway 36, Avon, IN 46123-8923 | 2006-06-01 |
| 1346236270 | Gabriel D Hostalet | Dentist | 6695 E Us Highway 36, Avon, IN 46123-8923 | 2005-09-26 |
| 1285634295 | Robert Mcdonough | Dentist | 6695 E Us Highway 36, Avon, IN 46123-8923 | 2005-08-01 |
| 1194725119 | Kevin Stockton | Dentist | 6695 E Us Highway 36, Avon, IN 46123-8923 | 2005-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951350 | Connecticut Oral Surgery and Implant Center, Pllc | Dentist | 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 | 2020-01-14 |
| 1952898025 | Premier Oral Surgery and Implantology Center LLC | Dentist | 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 | 2018-04-15 |
| 1629595145 | Gary Fishbein Dmd LLC | Dentist | 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 | 2017-08-25 |
| 1912428160 | Gm Surgical Associates LLC | Dentist | 130 New London Tpke Ste 3, Norwich, CT 06360-2624 | 2017-06-28 |
| 1861920068 | Mofs-ct Oral Facial Surgery LLC | Dentist | 1 Boulder Ave, Old Greenwich, CT 06870-1420 | 2017-06-01 |
| 1881034262 | Christy Lottinger | Dentist | 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 | 2013-06-28 |
| 1558618025 | Priceless Dental Care P.C. | Dentist | 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 | 2012-08-14 |
| 1477840270 | Imanuel Babayev | Dentist | 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 | 2011-06-30 |
| 1629364997 | New London Dental Care, LLC | Dentist | 258 S Frontage Rd, New London, CT 06320-2641 | 2011-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.