IndividualActive
Mark Lieberman, DDS
NPI 1174534788 · Periodontics · Los Angeles, CA
Mark Lieberman, DDS is a Periodontics provider in Los Angeles, CA (NPI 1174534788).
Provider details
- NPI number
- 1174534788
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22637 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11645 Wilshire Blvd
Suite 1001
Los Angeles, CA 90025-1708
Phone: (310) 826-7863
Fax: (310) 820-6163
Street-level locationGet directions
Mailing address
11645 Wilshire Blvd
Los Angeles, CA 90025-1708
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mark Lieberman's NPI number?
- Mark Lieberman's National Provider Identifier (NPI) is 1174534788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Lieberman's specialty?
- Mark Lieberman is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Mark Lieberman located?
- Mark Lieberman's practice location on file with NPPES is 11645 Wilshire Blvd, Los Angeles, CA 90025-1708.
- What is Mark Lieberman's phone number?
- The practice phone number listed in the NPPES registry for Mark Lieberman is (310) 826-7863.
- Is Mark Lieberman's NPI active?
- Yes — Mark Lieberman's NPI (1174534788) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.