Individual provider · Type 1 NPI

Jack Lawrence Lieberman, DDS

General Practice Dentistry · Chicago, IL

NPI number 1710940762 Active

Practice location

5400 N Milwaukee Ave, SUITE1MS
Chicago, IL 60630-1272

Call (773) 774-4121 Map

Fax (773) 774-4123

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X01912631 (IL)

General Practice Dentistry: 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.

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About NPI 1710940762

Jack Lawrence Lieberman, DDS's National Provider Identifier is 1710940762, issued on Apr 10, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jul 13, 2026.