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DR. JORDAN ALEXANDER LIEBERMAN DDS
NPI 1619474095
Dentist in Saint Albans, VT

Active since April 11, 2018Opted out of Medicare · through Nov 11, 2027
10 MAPLEVILLE DEPOT, SAINT ALBANS, VT 05478(802) 524-5169 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2026, Nov 4, 2025, Aug 7, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Jordan Alexander Lieberman Dds NPPES

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

DR. JORDAN ALEXANDER LIEBERMAN DDS (NPI 1619474095) is an individual dentist in Saint Albans, Vermont, licensed in Vermont (016.0133871) and active in the NPI registry since April 2018. He has opted out of Medicare through November 11, 2027.

NPPES Registry Identity

NPI1619474095
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JORDAN ALEXANDER LIEBERMANCredential: DDS
Location Address10 MAPLEVILLE DEPOTSaint Albans, VT 05478-1857
Mailing Address57 Fielding LnSouth Burlington, VT 05403-5787 · (802) 922-0421
Phone(802) 524-5169
Sole ProprietorYes
Enumeration DateApril 11, 2018
Last NPPES UpdateApril 20, 20265 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1619474095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VT · 016.0133871
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
10 MAPLEVILLE DEPOT, Saint Albans, VT 05478
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Jordan Alexander Lieberman Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 11, 2025 through November 11, 2027.

Opt-Out Effective DateNovember 11, 2025
Opt-Out In Effect ThroughNovember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

JORDAN LIEBERMAN DDS LLC
Clinic/Center (Dental)
10 MAPLEVILLE DEPOT
SAINT ALBANS, VT 05478
Franklin County (802) 542-5169
ELIZABETH NELSON DMD PC
Dentist
10 MAPLEVILLE DEPOT
ST. ALBANS, VT 05478
Franklin County (802) 524-5169
GOLDEN 10 MAPLEVILLE PLLC
Dentist
10 MAPLEVILLE DEPOT
ST ALBANS, VT 05478
Franklin County (802) 524-5169
DR. KRISTINA LESKA DDS
Dentist
10 MAPLEVILLE DEPOT
SAINT ALBANS, VT 05478
Franklin County (802) 524-5169

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 Jordan Lieberman's NPI number?

The NPI number for Jordan Lieberman is 1619474095. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Jordan Lieberman located?

Jordan Lieberman practices at 10 Mapleville Depot, Saint Albans, VT 05478. The listed phone number is (802) 524-5169.

What is Jordan Lieberman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jordan Lieberman enrolled in Medicare?

No. Jordan Lieberman has opted out of Medicare through November 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jordan Lieberman accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jordan Lieberman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Lieberman was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.