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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACK LAWRENCE LIEBERMAN D.D.S.
NPI 1710940762
Dentist - General Practice in Chicago, IL

Active since April 10, 2006
5400 N MILWAUKEE AVE, SUITE1MS, CHICAGO, IL 60630(773) 774-4121(773) 774-4123 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Lawrence Lieberman D.d.s. NPPES

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

DR. JACK LAWRENCE LIEBERMAN D.D.S. (NPI 1710940762) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (01912631) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1710940762
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK LAWRENCE LIEBERMANCredential: D.D.S.
Location Address5400 N MILWAUKEE AVE, SUITE1MSChicago, IL 60630-1272
Mailing Address5400 N Milwaukee Ave, Suite1msChicago, IL 60630-1272 · (773) 774-4121 · Fax (773) 774-4123
Phone(773) 774-4121
Fax(773) 774-4123
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1710940762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 01912631
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.
5400 N MILWAUKEE AVE, Chicago, IL 60630
Open in Google Maps ↗

Other Identifiers 1

Medicaid1002718IL

Other Providers at the Same Location NPPES 9

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

DR. PAUL A SMULSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
5400 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (773) 763-6836
DR. JAMES C PASTIKA DDS
Dentist (General Practice)
5400 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (773) 763-6836
DR. JOSEPH W. ROSSA D.D.S.
Dentist (Oral and Maxillofacial Surgery)
5400 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (773) 763-6836
DR. RANDY CHARLES RABIN DDS
Dentist
5400 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (773) 384-0505
ALAN ESHA SHLIMON
Dentist
5400 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (312) 388-2526
PAUL A SMULSON DDS ORAL SURGERY LTD
Dentist (Oral and Maxillofacial Surgery)
5400 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (773) 763-6836
LEGEND DENTAL INC
Dentist
5400 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (773) 762-8300
DR. GEORGE A. DEMEROS DDS
Dentist (General Practice)
5400 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (847) 508-0101

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 Jack Lieberman's NPI number?

The NPI number for Jack Lieberman is 1710940762. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Jack Lieberman located?

Jack Lieberman practices at 5400 N Milwaukee Ave Suite1ms, Chicago, IL 60630. The listed phone number is (773) 774-4121.

What is Jack Lieberman'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 Jack Lieberman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.