LIBERTY DENTAL PLAN OF THE SOUTHEAST, INC.
NPI 1508323254
Health Maintenance Organization in Tustin, CA

Active since February 28, 2019
1730 FLIGHT WAY STE 125, TUSTIN, CA 92782(888) 703-6999 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Feb 28, 2019 (2 updates tracked since 2019).

About Liberty Dental Plan Of The Southeast, Inc. NPPES

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

LIBERTY DENTAL PLAN OF THE SOUTHEAST, INC. (NPI 1508323254) is a healthcare organization registered as a health maintenance organization in Tustin, California and active in the NPI registry since February 2019. The organization lists Marzena Fercz, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1508323254
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameLIBERTY DENTAL PLAN OF THE SOUTHEAST, INC.
Location Address1730 FLIGHT WAY STE 125Tustin, CA 92782-1828
Mailing Address1730 Flight Way Ste 125Tustin, CA 92782-1828 · (888) 703-6999
Organization SubpartYesParent: Liberty Dental Plan Corporation
Authorized OfficialMarzena FerczChief Compliance Officer · (888) 703-6999
Enumeration DateFebruary 28, 2019
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1508323254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
1730 FLIGHT WAY STE 125, Tustin, CA 92782

Other Providers at the Same Location NPPES 13

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

Health Maintenance Organization
1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
Health Maintenance Organization
1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
Health Maintenance Organization
1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
Health Maintenance Organization
1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
Health Maintenance Organization
1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
Health Maintenance Organization
1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
Health Maintenance Organization
1730 FLIGHT WAY STE 125
TUSTIN, CA 92782
Health Maintenance Organization
1730 FLIGHT WAY STE 125
TUSTIN, CA 92782

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 Liberty Dental Plan Of The Southeast, Inc.'s NPI number?

The NPI number for Liberty Dental Plan Of The Southeast, Inc. is 1508323254. It was assigned to this organization in the NPPES registry on February 28, 2019.

Where is Liberty Dental Plan Of The Southeast, Inc. located?

Liberty Dental Plan Of The Southeast, Inc. is located at 1730 Flight Way Ste 125, Tustin, CA 92782. The listed phone number is (888) 703-6999.

What is Liberty Dental Plan Of The Southeast, Inc.'s specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

When was this NPI record last updated?

The NPPES record for Liberty Dental Plan Of The Southeast, Inc. was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.