DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN T LIESEN, DMD

Active

DR. STEPHEN T LIESEN, DMD is a Dentist healthcare provider located in BARRY, Illinois. NPI 1124009329 is currently active in the NPPES registry. Verify at CMS.

Dentist · BARRY, IL

Registration Details

NPI Number
1124009329
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2005 (20.759282127852 yrs)
Last Updated
Oct 8, 2012
License
19021224 (IL)

Practice Information

Address
750 MORTIMER ST
BARRY, IL, 623121247
Browse IL providers · Browse ZIP 62312
Phone
2173352397
Fax
2173352398
Primary Specialty
Dentist
122300000X

Other Dentist Providers in BARRY, IL

Name Credential NPI
BRETT R SCHAFER DMD 1447597950
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.