Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194012575 Individual Practitioner Male Practitioner

Dr. Justin Lieneck , DMD, PA

Dentist - General Practice • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Dr. Justin Lieneck, DMD, PA is a registered healthcare professional specializing in Dentist - General Practice in Melbourne, FL. Practice services are available at 811 S BABCOCK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

811 S Babcock St

Melbourne, FL 329011890

Telephone 3217290022
Associated Practice Facility / Clinic
🏢 Nikhita Shree Kumar Inc. Facility NPI 1669779468

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
84 Specialists

Practicing in Melbourne, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN19412

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1154745552

Doctor of Dental Medicine

Dr. Susan Wright , DMD

Dentist - General Practice

NPI 1366514580

Doctor of Dental Medicine

Dr. Erin Carmody , DMD

Dentist - General Practice

NPI 1952361867

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2012

Registered at 811 S BABCOCK ST, MELBOURNE, FL 329011890 (Tel: 3217290022)

📍
Updated Business Mailing Address April 30, 2012

Registered at 811 S BABCOCK ST, MELBOURNE, FL 329011890 (Tel: 3217290022)

👤
Provider Name / Credentials Updated April 30, 2012

Recorded as JUSTIN LIENECK, D.M.D., P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2012

Dentist (License #DN19412 in FL)

🟢
Initial NPI Registration & Enumeration July 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194012575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2011
Last Update: April 30, 2012
Sole Proprietor: Yes

Mailing Address

811 S Babcock St

Melbourne, FL 329011890

Phone: 3217290022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.