Individual provider · Type 1 NPI

Stephen T. Liesen, DMD

Dentist · Barry, IL

NPI number 1124009329 Active

Practice location

750 Mortimer St
Barry, IL 62312-1247

Fax (217) 335-2398

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X19021224 (IL)

Dentist: 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 requiremen…

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About NPI 1124009329

Stephen T. Liesen, DMD's National Provider Identifier is 1124009329, issued on Nov 7, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Barry, IL. The record was last updated on Oct 8, 2012.