Individual provider · Type 1 NPI

Lawrence Elliott Liston, D.D.S

Dentist · Bloomington, IL

NPI number 1568616886 Active

Practice location

2103 E Washington St Ste 2D
Bloomington, IL 61701-4365

Fax (309) 663-4683

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019019178 (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 1568616886

Lawrence Elliott Liston, D.D.S's National Provider Identifier is 1568616886, issued on Nov 13, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bloomington, IL. The record was last updated on Nov 13, 2008.