DR. GREGORY R LIEBSCH DDS
NPI 1255442091
Dentist - General Practice in Blaine, MN

Q: What is Gregory Liebsch's NPI number?

The NPI number for Gregory Liebsch is 1255442091. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Gregory Liebsch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Liebsch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2006

10961 CLUB PARKWAY NE, SUITE 240, BLAINE, MN 55449(763) 780-1292(952) 967-5311 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gregory R Liebsch Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY R LIEBSCH DDS (NPI 1255442091) is an individual general practice provider in Blaine, Minnesota, licensed in Minnesota (10305) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1255442091

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GREGORY R LIEBSCHCredential: DDS

Location Address10961 CLUB PARKWAY NE, SUITE 240Blaine, MN 55449

Mailing AddressPo Box 1309, Mail Code 21113aMinneapolis, MN 55440-1309 · (952) 883-5151 · Fax (952) 883-5160

Phone(763) 780-1292

Fax(952) 967-5311

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1255442091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 10305

Definition

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.

10961 CLUB PARKWAY NE, Blaine, MN 55449

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW R NELSON DDS

Dentist (General Practice)

10961 CLUB PARKWAY NE, SUITE 240
BLAINE, MN 55449

Anoka County (763) 780-1292

DR. BRUCE F HOLT DDS

Dentist (General Practice)

10961 CLUB PARKWAY NE, SUITE 240
BLAINE, MN 55449

Anoka County (763) 780-1292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Liebsch's NPI number?

The NPI number for Gregory Liebsch is 1255442091. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Gregory Liebsch located?

Gregory Liebsch practices at 10961 Club Parkway NE Suite 240, Blaine, MN 55449. The listed phone number is (763) 780-1292.

What is Gregory Liebsch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gregory Liebsch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.