DR. MARVIN PHILLIP LIBERTO (NPI# 1508986480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508986480 |
| Entity Type | Individual |
| Full Name | DR. MARVIN PHILLIP LIBERTO |
| Credential | D.D.S. |
| Practice Address |
431 Security Sq Gulfport MS 39507-1922 |
| Practice Telephone | 2286042299 |
| Mailing Telephone | 2286042299 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
990-60 | MS | Dental Providers |
| Street Address |
431 SECURITY SQ |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588747737 | Jeffery Y. Taylor | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2006-10-23 |
| 1477866994 | Jeffery Y. Taylor, Dmd, Pa | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2010-07-26 |
| 1952470494 | Carol Hilborn | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2006-11-07 |
| 1932282563 | Jeffery Y. Taylor Dmd, Pa | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
| 1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| Find all providers in zip 39507 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706306 | Brenyatta Travis | Dentist | 28 Pass Rd Ste 300, Gulfport, MS 39507-3244 | 2020-10-07 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1477086585 | Jason Franklin Olaivar | Dentist | 1311 Beards Cove, Gulfport, MS 39507-3600 | 2017-04-05 |
| 1417352204 | Charlton Bryan Blakeney D.m.d. | Dentist | 12182 Highway 49, Gulfport, MS 39503-3125 | 2014-10-23 |
| 1700131331 | Anna Rose Snyder Rider | Dentist | 410 Security Sq, Gulfport, MS 39507-1952 | 2012-07-19 |
| 1174829501 | Kinyatta Bennett | Dentist | 13179 Three Rivers Rd, Gulfport, MS 39503-4944 | 2011-02-02 |
| 1033412176 | Toothdocs, LLC | Dentist | 382 Courthouse Rd, Suite B, Gulfport, MS 39507-1863 | 2010-12-13 |
| 1891985875 | Mike C Mccabe | Dentist | 605 16th St, Gulfport, MS 39507-1302 | 2007-07-26 |
| 1376765016 | David Ricardo Mendoza | Dentist | 5028 Gulfport Blvd S, Gulfport, FL 33707-4942 | 2007-05-03 |
| 1104957422 | Hillcrest Dental Group, P.a. | Dentist | 382 Courthouse Rd Ste B, Gulfport, MS 39507-1864 | 2007-03-08 |
| Find all providers in GULFPORT | ||||
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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.