GERALD B. LEIBER, D.M.D., P.C.


Address: 0 Governors Ave, Suite 30, Medford, MA 02155-3025
Phone: 7813915100

GERALD B. LEIBER, D.M.D., P.C. (NPI# 1528272721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528272721
Entity Type Organization
Organization Name GERALD B. LEIBER, D.M.D., P.C.
Practice Address 0 Governors Ave
Suite 30
Medford
MA 02155-3025
Practice Telephone 7813915100
Practice Fax Number 7813914833
Mailing Telephone 7813915100
Mailing Fax Number 7813914833
Enumeration Date 2007-05-09
Last Update Date 2020-08-22
Authorized Official Name DR. GERALD B. LEIBER (DENTIST)
Authorized Official Telephone 7813915100
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
12008 MA Dental Providers

Office Location

Street Address 0 GOVERNORS AVE
SUITE 30
City MEDFORD
State MA
Zip Code 02155-3025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932197019 Gerald B. Leiber Dentist 0 Governors Ave, Suite 30, Medford, MA 02155-3025 2005-10-12
1699294777 Appleton Eye Associates P.C. Optometrist 0 Governors Ave, Medford, MA 02155 2017-09-11
1801029384 Joseph Patrick Harter Acupuncturist 0 Governors Ave, B6, Medford, MA 02155-3025 2009-08-31
1851411656 Gerald J. Riffelmacher, M.d., PC Internal Medicine 0 Governors Ave, Suite 33, Medford, MA 02155-3025 2007-03-29
1700936432 Ali Mashayekhi Dentist 0 Governors Ave, Suite #23, Medford, MA 02155-3025 2007-01-12
1861407264 Shadi Kashani Aryanpour Dentist 0 Governors Ave, Medford, MA 02155-3025 2006-07-31
1265477939 Dan Seligman Podiatrist 0 Governors Ave, Suite 7, Medford, MA 02155-3025 2006-06-18
1497705909 John L. Gentuso Dentist 0 Governors Ave, Suite 1, Medford, MA 02155-3025 2006-05-12
1104802529 Medford Medical Laboratory Inc. Clinical Medical Laboratory 0 Governors Ave, B-2, Medford, MA 02155-3025 2005-12-17
1033190160 Jonathan Joseph Donahue Counselor 0 Governors Ave, Suite 20, Medford, MA 02155-3025 2005-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679113922 Elena Chapman Nurse Practitioner 293 Salem St 4, Medford, MA 02155 2020-01-14
1922658830 Michelle Anne Zona Counselor 100 George Hassett Dr, Medford, MA 02155 2019-09-13
1487138509 Dava Davainis Social Worker 76 Newbern Avenue, Apt. 1, Medford, MA 02155 2018-09-25
1265915128 Erin Roberts Counselor Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 2018-09-07
1871075739 Janice Madeline Cole Social Worker 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 2018-09-06
1447732573 Mystick Women's Health, Inc. Obstetrics & Gynecology 13 Bradlee Road, Medford, MA 02155 2018-09-05
1144713090 Laura Rogers Psychologist 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 2018-06-14
1871086694 Shuo Yang Dentist 8 9th St Apt 310, Medford, MA 02155 2018-06-07
1891287108 Xuhua Qin Psychologist 120 Curtis Street, Medford, MA 02155 2018-06-01
1568953529 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 471 Salem St, Medford, MA 02155 2018-05-25
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609121599 Marc A Rasmussen Dentist 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 2012-07-17
1780974477 Medford Endodontics, LLC Dentist Zero Governors Avenue, Suite 30, Medford, MA 02155-3006 2011-04-14
1700197134 Erik Brian Gonzalez Dentist 21 Scotch Pine Dr, Medford, NY 11763-4220 2010-06-30
1629300272 Henry Lucien Harbert Dentist 691 Murphy Rd., Ste 204, Medford, OR 97504 2010-02-08
1043470479 Matt Gebhardt Dentist 831 Alder Creek Dr, Medford, OR 97504-8900 2008-06-10
1073789582 Marlene Imelda Oviedo-marmo Dentist 30 Jackson Rd Ste C2, Medford, NJ 08055-9281 2008-05-05
1932197019 Gerald B. Leiber Dentist 0 Governors Ave, Suite 30, Medford, MA 02155-3025 2005-10-12
1194722892 Michael Curtis Hall Dentist 2952 Lazy Creek Dr, Medford, OR 97504-8182 2005-07-07
1396983169 Cary James Cunningham Dentist 2924 Siskiyou Blvd, Suite 204, Medford, OR 97504-8194 2009-01-31
1548436009 Carl Lewis Tinkelman Dentist 30 Jackson Rd, Suite C-2, Medford, NJ 08055-9283 2008-05-05
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Competitor

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City MEDFORD
Zip Code 02155

Improve Information

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Dataset Information

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.

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