SearchIllinoisDentist

Stephen Liesen, DMD

NPI 1124009329 · on the registry since 2005

Practice

Address
750 Mortimer St
Barry, IL 62312
Phone
(217) 335-2397
Fax
(217) 335-2398
Organisation at this address
Barry Dental Clinic
Barry Dental Care Plcc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois