OrganizationActive
Liberty Dental, LLC
NPI 1891023263 · Dentist · Philadelphia, PA
Liberty Dental, LLC is a Dentist organization in Philadelphia, PA (NPI 1891023263).
Provider details
- NPI number
- 1891023263
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ramon Lugo, President(215) 923-2233
- License
- DS029647L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
200 Walnut Street
Philadelphia, PA 19106-3904
Phone: (215) 923-2233
Fax: (888) 608-7353
Street-level locationGet directions
Mailing address
200 Walnut St.
Philadelphia, PA 19106-3904
Other names (DBA / former)
- Doing business as
- I-Dentical
Registry dates
- Enumerated
- 2009-11-24
- Last updated
- 2009-11-24
Frequently asked questions
- What is Liberty Dental, LLC's NPI number?
- Liberty Dental, LLC's National Provider Identifier (NPI) is 1891023263, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Dental, LLC?
- Liberty Dental, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Liberty Dental, LLC located?
- Liberty Dental, LLC's practice location on file with NPPES is 200 Walnut Street, Philadelphia, PA 19106-3904.
- What is Liberty Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Dental, LLC is (215) 923-2233.
- Who is the authorized official for Liberty Dental, LLC?
- The authorized official listed on Liberty Dental, LLC's NPPES record is Ramon Lugo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Dental, LLC's NPI active?
- Yes — Liberty Dental, LLC's NPI (1891023263) is active in the NPPES registry as of the last update on 2009-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.